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 $79.43 Median $112.20 Typical High $117.49 | Professional | None | $79.43 | $112.20 | $117.49 |
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 $97.72 Median $165.96 Typical High $218.78 | Professional | None | $97.72 | $165.96 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $190.55 | Facility | None | $66.07 | $104.71 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $162.18 | Professional | None | $79.43 | $104.71 | $162.18 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $316.23 Typical High $1,584.89 | Facility | None | $107.15 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $645.65 Typical High $933.25 | Professional | None | $104.71 | $645.65 | $933.25 |
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 $75.86 Median $102.33 Typical High $151.36 | Professional | None | $75.86 | $102.33 | $151.36 |
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 $39.81 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $12.02 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $9.77 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.94 | $9.77 | $11.48 |
Where Arizona sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$115
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.