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 $67.61 Median $67.61 Typical High $72.44 | Professional | None | $67.61 | $67.61 | $72.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $323.59 Median $758.58 Typical High $1,995.26 | Facility | None | $323.59 | $758.58 | $1,995.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $151.36 | Professional | None | $69.18 | $74.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $323.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $138.04 | Professional | None | $77.62 | $83.18 | $138.04 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $338.84 Typical High $1,905.46 | Facility | None | $95.50 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $660.69 | Professional | None | $74.13 | $102.33 | $660.69 |
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 $83.18 Typical High $151.36 | Professional | None | $72.44 | $83.18 | $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 $33.88 Median $33.88 Typical High $36.31 | Professional | 52 · Reduced service | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $14.45 | Professional | 53 · Discontinued | $13.49 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.96 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $7.24 |
Where Arizona sits
The same service costs 4.5 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· 20th of 51
$129
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.