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 $977.24 Median $3,715.35 Typical High $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $151.36 | Professional | None | $91.20 | $125.89 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $128.82 Median $302.00 Typical High $794.33 | Facility | None | $128.82 | $302.00 | $794.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $245.47 | Professional | None | $109.65 | $177.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $194.98 | Facility | None | $66.07 | $104.71 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $177.83 | Professional | None | $93.33 | $120.23 | $177.83 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $1,819.70 | Facility | None | $112.20 | $323.59 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $724.44 Typical High $1,023.29 | Professional | None | $117.49 | $724.44 | $1,023.29 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $169.82 | Professional | None | $89.13 | $114.82 | $169.82 |
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 $45.71 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $13.49 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.96 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.12 | $10.96 | $12.59 |
Where Arizona sits
The same service costs 3.7 times more in Alaska 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· 42nd of 51
$129
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.