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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $3,801.89 Median $17,378.01 Typical High $26,302.68 | Facility | None | $3,801.89 | $17,378.01 | $26,302.68 |
BCBS Arizona Setting Professional Modifier None Typical Low $10,964.78 Median $12,589.25 Typical High $22,908.68 | Professional | None | $10,964.78 | $12,589.25 | $22,908.68 |
Cigna Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $9,332.54 | Professional | None | $6,918.31 | $6,918.31 | $9,332.54 |
Medica Setting Facility Modifier None Typical Low $6,456.54 Median $14,454.40 Typical High $74,131.02 | Facility | None | $6,456.54 | $14,454.40 | $74,131.02 |
Medica Setting Professional Modifier None Typical Low $6,606.93 Median $10,232.93 Typical High $95,499.26 | Professional | None | $6,606.93 | $10,232.93 | $95,499.26 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,244.36 | Facility | None | $6,025.60 | $6,025.60 | $7,244.36 |
United Setting Professional Modifier None Typical Low $6,456.54 Median $7,079.46 Typical High $10,715.19 | Professional | None | $6,456.54 | $7,079.46 | $10,715.19 |
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | 52 · Reduced service | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 53 · Discontinued | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 55 · Aftercare only | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 56 · Pre-op care only | $645.65 | $645.65 | $645.65 |
Where Arizona sits
The same service costs 2.8 times more in Montana than in Delaware. 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· 34th of 51
$8,511
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.