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 $39.81 Median $58.88 Typical High $58.88 | Professional | None | $39.81 | $58.88 | $58.88 |
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 $46.77 Median $81.28 Typical High $104.71 | Professional | None | $46.77 | $81.28 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $48.98 Typical High $79.43 | Facility | None | $37.15 | $48.98 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $83.18 | Professional | None | $41.69 | $54.95 | $83.18 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $1,584.89 | Facility | None | $57.54 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $331.13 Typical High $489.78 | Professional | None | $54.95 | $331.13 | $489.78 |
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 $38.90 Median $54.95 Typical High $79.43 | Professional | None | $38.90 | $54.95 | $79.43 |
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 $19.95 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $19.95 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.47 Typical High $11.75 | Professional | 53 · Discontinued | $8.13 | $10.47 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $7.76 Typical High $8.91 | Professional | 55 · Aftercare only | $6.03 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.25 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.98 | $5.25 | $5.89 |
Where Arizona sits
The same service costs 3.5 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· 41st of 51
$60.26
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.