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 $616.60 Median $794.33 Typical High $1,318.26 | Professional | None | $616.60 | $794.33 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $870.96 | Professional | None | $812.83 | $870.96 | $870.96 |
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 $776.25 Median $1,122.02 Typical High $2,137.96 | Professional | None | $776.25 | $1,122.02 | $2,137.96 |
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 $660.69 Median $891.25 Typical High $1,412.54 | Professional | None | $660.69 | $891.25 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $870.96 Typical High $4,073.80 | Facility | None | $104.71 | $870.96 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $5,754.40 Typical High $7,413.10 | Professional | None | $758.58 | $5,754.40 | $7,413.10 |
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 $575.44 Median $776.25 Typical High $1,513.56 | Professional | None | $575.44 | $776.25 | $1,513.56 |
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 $309.03 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $114.82 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $75.86 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $75.86 | $79.43 |
Where Arizona sits
The same service costs 3.2 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· 49th of 51
$813
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.