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 Facility Modifier None Typical Low $707,945.78 Median $707,945.78 Typical High $794,328.23 | Facility | None | $707,945.78 | $707,945.78 | $794,328.23 |
Aetna Setting Professional Modifier None Typical Low $524,807.46 Median $562,341.33 Typical High $562,341.33 | Professional | None | $524,807.46 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263,026.80 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $263,026.80 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104,712.85 Median $112,201.85 Typical High $112,201.85 | Professional | 53 · Discontinued | $104,712.85 | $112,201.85 | $112,201.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79,432.82 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $79,432.82 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52,480.75 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $52,480.75 | $56,234.13 | $56,234.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.85 Median $3.63 Typical High $5.50 | Facility | None | $0.85 | $3.63 | $5.50 |
BCBS Arizona Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $1.20 | Professional | None | $0.79 | $0.79 | $1.20 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $537,031.80 Typical High $794,328.23 | Professional | None | $489,778.82 | $537,031.80 | $794,328.23 |
Medica Setting Facility Modifier None Typical Low $537,031.80 Median $588,843.66 Typical High $758,577.58 | Facility | None | $537,031.80 | $588,843.66 | $758,577.58 |
Medica Setting Professional Modifier None Typical Low $1,000,000.00 Median $1,000,000.00 Typical High $1,000,000.00 | Professional | None | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $512,861.38 Typical High $602,559.59 | Professional | None | $489,778.82 | $512,861.38 | $602,559.59 |
Where Arizona sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 12th of 51
$562,341
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.