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 $812,830.52 Median $1,071,519.31 Typical High $1,174,897.55 | Facility | None | $812,830.52 | $1,071,519.31 | $1,174,897.55 |
Aetna Setting Professional Modifier None Typical Low $602,559.59 Median $630,957.34 Typical High $630,957.34 | Professional | None | $602,559.59 | $630,957.34 | $630,957.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295,120.92 Median $316,227.77 Typical High $316,227.77 | Professional | 52 · Reduced service | $295,120.92 | $316,227.77 | $316,227.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120,226.44 Median $128,824.96 Typical High $128,824.96 | Professional | 53 · Discontinued | $120,226.44 | $128,824.96 | $128,824.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89,125.09 Median $95,499.26 Typical High $95,499.26 | Professional | 55 · Aftercare only | $89,125.09 | $95,499.26 | $95,499.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60,255.96 Median $63,095.73 Typical High $63,095.73 | Professional | 56 · Pre-op care only | $60,255.96 | $63,095.73 | $63,095.73 |
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 $549,540.87 Median $602,559.59 Typical High $912,010.84 | Professional | None | $549,540.87 | $602,559.59 | $912,010.84 |
Medica Setting Facility Modifier None Typical Low $562,341.33 Median $616,595.00 Typical High $812,830.52 | Facility | None | $562,341.33 | $616,595.00 | $812,830.52 |
Medica Setting Professional Modifier None Typical Low $977,237.22 Median $977,237.22 Typical High $977,237.22 | Professional | None | $977,237.22 | $977,237.22 | $977,237.22 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $676,082.98 | Professional | None | $562,341.33 | $575,439.94 | $676,082.98 |
Where Arizona sits
The same service costs 1.7 times more in Texas than in Minnesota. 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
$630,957
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.