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 $3,388.44 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,388.44 | $3,548.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,621.81 Median $7,244.36 Typical High $10,964.78 | Facility | None | $1,621.81 | $7,244.36 | $10,964.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $6,456.54 | Professional | None | $3,388.44 | $3,388.44 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $6,309.57 Typical High $6,606.93 | Facility | None | $4,466.84 | $6,309.57 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $3,311.31 Median $4,168.69 Typical High $15,135.61 | Facility | None | $3,311.31 | $4,168.69 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $15,488.17 Typical High $15,488.17 | Professional | None | $3,388.44 | $15,488.17 | $15,488.17 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
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 $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | 53 · Discontinued | $676.08 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $501.19 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $346.74 |
Where Arizona sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 47th of 51
$3,467
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.