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 $69.18 Median $85.11 Typical High $100.00 | Professional | None | $69.18 | $85.11 | $100.00 |
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 $81.28 Median $141.25 Typical High $186.21 | Professional | None | $81.28 | $141.25 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $141.25 | Facility | None | $64.57 | $77.62 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $138.04 | Professional | None | $70.79 | $89.13 | $138.04 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $316.23 Typical High $1,584.89 | Facility | None | $100.00 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $562.34 Typical High $794.33 | Professional | None | $87.10 | $562.34 | $794.33 |
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 $66.07 Median $87.10 Typical High $131.83 | Professional | None | $66.07 | $87.10 | $131.83 |
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 $34.67 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $13.80 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.59 Typical High $14.79 | Professional | 55 · Aftercare only | $10.47 | $12.59 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.51 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.92 | $8.51 | $10.00 |
Where Arizona sits
The same service costs 3.8 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· 38th of 51
$100
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.