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 $95.50 Median $128.82 Typical High $131.83 | Professional | None | $95.50 | $128.82 | $131.83 |
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 $117.49 Median $186.21 Typical High $251.19 | Professional | None | $117.49 | $186.21 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $199.53 | Facility | None | $66.07 | $107.15 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $186.21 | Professional | None | $100.00 | $123.03 | $186.21 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $1,584.89 | Facility | None | $120.23 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $776.25 Typical High $1,071.52 | Professional | None | $120.23 | $776.25 | $1,071.52 |
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 $95.50 Median $120.23 Typical High $177.83 | Professional | None | $95.50 | $120.23 | $177.83 |
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 $47.86 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $47.86 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $19.05 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $19.50 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.48 Typical High $13.18 | Professional | 56 · Pre-op care only | $9.55 | $11.48 | $13.18 |
Where Arizona sits
The same service costs 4.0 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· 43rd of 51
$132
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.