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 $338.84 Median $436.52 Typical High $707.95 | Professional | None | $338.84 | $436.52 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $724.44 | Professional | None | $446.68 | $524.81 | $724.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $186.21 Typical High $489.78 | Facility | None | $79.43 | $186.21 | $489.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $1,174.90 | Professional | None | $416.87 | $616.60 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $2,691.53 | Facility | None | $724.44 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $794.33 | Professional | None | $363.08 | $489.78 | $794.33 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $630.96 Typical High $4,073.80 | Facility | None | $104.71 | $630.96 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $3,090.30 Typical High $4,073.80 | Professional | None | $426.58 | $3,090.30 | $4,073.80 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $831.76 | Professional | None | $331.13 | $436.52 | $831.76 |
3 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 $165.96 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $165.96 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $42.66 Typical High $43.65 | Professional | 56 · Pre-op care only | $33.88 | $42.66 | $43.65 |
Where Arizona sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 48th of 51
$468
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.