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 $28.84 Median $43.65 Typical High $53.70 | Professional | None | $28.84 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $30.90 Typical High $32.36 | Professional | 54 · Surgery only | $21.88 | $30.90 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | None | $38.90 | $43.65 | $43.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $131.83 Median $309.03 Typical High $812.83 | Facility | None | $131.83 | $309.03 | $812.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $47.86 | Professional | None | $21.88 | $36.31 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $66.07 | Facility | None | $23.44 | $30.90 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | None | $33.88 | $48.98 | $66.07 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $302.00 Typical High $1,698.24 | Facility | None | $47.86 | $302.00 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $251.19 Typical High $380.19 | Professional | None | $44.67 | $251.19 | $380.19 |
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 $32.36 Median $43.65 Typical High $64.57 | Professional | None | $32.36 | $43.65 | $64.57 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | 50 · Both sides | $74.13 | $91.20 | $91.20 |
Where Arizona sits
The same service costs 3.3 times more in Alaska 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· 45th of 51
$45.71
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.