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 Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $114.82 | Professional | None | $66.07 | $104.71 | $114.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,778.28 Median $7,585.78 Typical High $11,481.54 | Facility | None | $1,778.28 | $7,585.78 | $11,481.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $169.82 | Professional | None | $74.13 | $138.04 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $218.78 | Professional | None | $72.44 | $114.82 | $218.78 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $1,778.28 Typical High $5,128.61 | Facility | None | $72.44 | $1,778.28 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $537.03 Typical High $831.76 | Professional | None | $107.15 | $537.03 | $831.76 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,365.16 Typical High $5,495.41 | Facility | None | $1,548.82 | $4,365.16 | $5,495.41 |
United Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $194.98 | Professional | None | $69.18 | $107.15 | $194.98 |
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 $33.11 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $13.18 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $14.45 Typical High $15.49 | Professional | 55 · Aftercare only | $10.00 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.77 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.61 | $9.77 | $10.47 |
Where Arizona sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 11th of 51
$204
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.