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 $186.21 Median $870.96 Typical High $912.01 | Facility | None | $186.21 | $870.96 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $60.26 | Professional | None | $42.66 | $54.95 | $60.26 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $660.69 Typical High $1,096.48 | Facility | None | $169.82 | $660.69 | $1,096.48 |
BCBS Arizona Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | None | $57.54 | $57.54 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $97.72 | Professional | None | $63.10 | $70.79 | $97.72 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $954.99 | Facility | None | $64.57 | $72.44 | $954.99 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $851.14 | Professional | None | $61.66 | $112.20 | $851.14 |
United Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $95.50 | Professional | None | $60.26 | $69.18 | $95.50 |
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 $32.36 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $10.47 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $7.08 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$69.18
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.