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 $40.74 Median $40.74 Typical High $43.65 | Professional | None | $40.74 | $40.74 | $43.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $56.23 Median $134.90 Typical High $354.81 | Facility | None | $56.23 | $134.90 | $354.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $91.20 | Professional | None | $40.74 | $44.67 | $91.20 |
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 $46.77 Median $48.98 Typical High $83.18 | Professional | None | $46.77 | $48.98 | $83.18 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $338.84 Typical High $1,905.46 | Facility | None | $72.44 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $660.69 | Professional | None | $44.67 | $63.10 | $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 $43.65 Median $50.12 Typical High $91.20 | Professional | None | $43.65 | $50.12 | $91.20 |
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 $19.95 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.71 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.61 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.37 |
Where Arizona sits
The same service costs 4.7 times more in Wisconsin 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· 33rd of 51
$69.18
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.