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 $169.82 Median $169.82 Typical High $208.93 | Professional | None | $169.82 | $169.82 | $208.93 |
BCBS Arizona Setting Facility Modifier None Typical Low $144.54 Median $630.96 Typical High $977.24 | Facility | None | $144.54 | $630.96 | $977.24 |
BCBS Arizona Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $1,122.02 | Professional | None | $158.49 | $158.49 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $407.38 | Facility | None | $275.42 | $380.19 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $234.42 | Facility | None | $165.96 | $181.97 | $234.42 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $223.87 | Professional | None | $186.21 | $199.53 | $223.87 |
United Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $234.42 | Professional | None | $186.21 | $199.53 | $234.42 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Where Arizona sits
The same service costs 1.8 times more in Arizona than in Alabama. 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
$295
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.