How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
BCBS Arizona Setting Facility Modifier None Typical Low $2,570.40 Median $11,481.54 Typical High $17,782.79 | Facility | None | $2,570.40 | $11,481.54 | $17,782.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $7,413.10 Median $8,511.38 Typical High $15,488.17 | Professional | None | $7,413.10 | $8,511.38 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,495.41 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $4,365.16 Median $9,772.37 Typical High $48,977.88 | Facility | None | $4,365.16 | $9,772.37 | $48,977.88 |
Medica Setting Professional Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $54,954.09 | Professional | None | $4,365.16 | $6,760.83 | $54,954.09 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,786.30 | Facility | None | $4,265.80 | $4,265.80 | $4,786.30 |
United Setting Professional Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $7,079.46 | Professional | None | $4,365.16 | $4,677.35 | $7,079.46 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 52 · Reduced service | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 53 · Discontinued | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 55 · Aftercare only | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 56 · Pre-op care only | $436.52 | $436.52 | $436.52 |
Where Arizona sits
The same service costs 2.1 times more in Montana than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 41st of 51
$5,623
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.