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 $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $4,570.88 Median $20,892.96 Typical High $31,622.78 | Facility | None | $4,570.88 | $20,892.96 | $31,622.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $13,489.63 Median $15,488.17 Typical High $28,183.83 | Professional | None | $13,489.63 | $15,488.17 | $28,183.83 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $8,511.38 Median $19,054.61 Typical High $91,201.08 | Facility | None | $8,511.38 | $19,054.61 | $91,201.08 |
Medica Setting Professional Modifier None Typical Low $8,128.31 Median $12,589.25 Typical High $114,815.36 | Professional | None | $8,128.31 | $12,589.25 | $114,815.36 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $9,332.54 | Facility | None | $7,943.28 | $7,943.28 | $9,332.54 |
United Setting Professional Modifier None Typical Low $8,128.31 Median $8,709.64 Typical High $13,182.57 | Professional | None | $8,128.31 | $8,709.64 | $13,182.57 |
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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | 52 · Reduced service | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 53 · Discontinued | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 55 · Aftercare only | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 56 · Pre-op care only | $851.14 | $851.14 | $851.14 |
Where Arizona sits
The same service costs 2.5 times more in Montana than in Florida. 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
$10,471
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.