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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None | $181.97 | $181.97 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $144.54 | Professional | None | $107.15 | $114.82 | $144.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $977.24 | Facility | None | $151.36 | $660.69 | $977.24 |
BCBS Arizona Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $1,202.26 | Professional | None | $169.82 | $169.82 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $363.08 | Facility | None | $245.47 | $346.74 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $331.13 | Facility | None | $169.82 | $169.82 | $331.13 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | None | $190.55 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $213.80 | Professional | None | $194.98 | $208.93 | $213.80 |
2 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 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Where Arizona sits
The same service costs 562.3 times more in Montana than in Rhode Island. 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· 2nd of 51
$263
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.