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 $102.33 Median $131.83 Typical High $144.54 | Professional | None | $102.33 | $131.83 | $144.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $134.90 Typical High $354.81 | Facility | None | $57.54 | $134.90 | $354.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $239.88 | Professional | None | $120.23 | $173.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $147.91 | Facility | None | $66.07 | $79.43 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $194.98 | Professional | None | $107.15 | $134.90 | $194.98 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,584.89 | Facility | None | $125.89 | $323.59 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $851.14 Typical High $1,096.48 | Professional | None | $128.82 | $851.14 | $1,096.48 |
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 $100.00 Median $128.82 Typical High $194.98 | Professional | None | $100.00 | $128.82 | $194.98 |
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 $51.29 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $17.78 Typical High $19.95 | Professional | 55 · Aftercare only | $15.14 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.02 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.23 | $12.02 | $13.18 |
Where Arizona sits
The same service costs 4.3 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· 40th of 51
$138
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.