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 $22.39 Median $48.98 Typical High $58.88 | Professional | None | $22.39 | $48.98 | $58.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $467.74 | Facility | None | $75.86 | $177.83 | $467.74 |
BCBS Arizona Setting Professional Modifier None Typical Low $26.30 Median $61.66 Typical High $107.15 | Professional | None | $26.30 | $61.66 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $616.60 | Facility | None | $56.23 | $66.07 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $48.98 Typical High $70.79 | Professional | None | $22.91 | $48.98 | $70.79 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $316.23 Typical High $1,584.89 | Facility | None | $48.98 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $316.23 Typical High $426.58 | Professional | None | $46.77 | $316.23 | $426.58 |
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 $25.70 Median $45.71 Typical High $75.86 | Professional | None | $25.70 | $45.71 | $75.86 |
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 $10.96 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $10.96 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $8.13 Typical High $9.77 | Professional | 53 · Discontinued | $4.47 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $6.03 Typical High $7.41 | Professional | 55 · Aftercare only | $3.31 | $6.03 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $4.07 Typical High $4.90 | Professional | 56 · Pre-op care only | $2.24 | $4.07 | $4.90 |
Where Arizona sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 26th of 51
$57.54
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.