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 $1,737.80 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,819.70 | $1,819.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $257.04 Median $616.60 Typical High $1,621.81 | Facility | None | $257.04 | $616.60 | $1,621.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $223.87 | Professional | None | $97.72 | $100.00 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $263.03 | Facility | None | $125.89 | $177.83 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,570.40 | Facility | None | $1,584.89 | $1,819.70 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $5,888.44 | Professional | None | $1,659.59 | $1,659.59 | $5,888.44 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
5 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 $870.96 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $346.74 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,288.25 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $173.78 | $181.97 | $181.97 |
Where Arizona sits
The same service costs 15.1 times more in Arkansas than in North Carolina. 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· 27th of 51
$282
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.