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 $112.20 Median $112.20 Typical High $128.82 | Professional | None | $112.20 | $112.20 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | None | $100.00 | $104.71 | $104.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $120.23 Median $478.63 Typical High $776.25 | Facility | None | $120.23 | $478.63 | $776.25 |
BCBS Arizona Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | None | $100.00 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $165.96 | Professional | None | $107.15 | $120.23 | $165.96 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $1,548.82 | Facility | None | $112.20 | $123.03 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $1,174.90 | Professional | None | $104.71 | $186.21 | $1,174.90 |
United Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $158.49 | Professional | None | $100.00 | $117.49 | $158.49 |
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 $56.23 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.75 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 46th of 51
$117
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.