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 $74.13 Median $102.33 Typical High $114.82 | Professional | None | $74.13 | $102.33 | $114.82 |
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 $87.10 Median $162.18 Typical High $213.80 | Professional | None | $87.10 | $162.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $173.78 | Facility | None | $66.07 | $93.33 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $158.49 | Professional | None | $75.86 | $102.33 | $158.49 |
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 $102.33 Median $602.56 Typical High $912.01 | Professional | None | $102.33 | $602.56 | $912.01 |
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 $72.44 Median $100.00 Typical High $151.36 | Professional | None | $72.44 | $100.00 | $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 $37.15 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $37.15 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $14.79 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.79 Typical High $16.98 | Professional | 55 · Aftercare only | $11.22 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.77 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.41 | $9.77 | $11.48 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 41st 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.