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 $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $467.74 Median $1,819.70 Typical High $3,019.95 | Facility | None | $467.74 | $1,819.70 | $3,019.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $724.44 | Professional | None | $489.78 | $489.78 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $645.65 | Professional | None | $436.52 | $489.78 | $645.65 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $501.19 Typical High $1,148.15 | Facility | None | $457.09 | $501.19 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $3,630.78 | Professional | None | $407.38 | $707.95 | $3,630.78 |
United Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $588.84 | Professional | None | $389.05 | $426.58 | $588.84 |
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 $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $46.77 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in New York. 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· 40th of 51
$490
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.