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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $2,041.74 Median $9,120.11 Typical High $13,489.63 | Facility | None | $2,041.74 | $9,120.11 | $13,489.63 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $16,218.10 | Professional | None | $2,344.23 | $2,344.23 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $4,786.30 Typical High $5,128.61 | Facility | None | $3,388.44 | $4,786.30 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,311.31 | Facility | None | $2,344.23 | $2,344.23 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,630.27 | $2,754.23 | $2,818.38 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $3,019.95 | Professional | None | $2,818.38 | $2,884.03 | $3,019.95 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Where Arizona sits
The same service costs 25.1 times more in Arizona than in Montana. 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· 1st of 51
$3,715
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.