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 $245.47 Median $269.15 Typical High $309.03 | Professional | None | $245.47 | $269.15 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $302.00 | Professional | None | $213.80 | $288.40 | $302.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $245.47 Median $954.99 Typical High $1,584.89 | Facility | None | $245.47 | $954.99 | $1,584.89 |
BCBS Arizona Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | None | $288.40 | $288.40 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $371.54 | Professional | None | $234.42 | $288.40 | $371.54 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $676.08 | Facility | None | $269.15 | $295.12 | $676.08 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $1,905.46 | Professional | None | $213.80 | $288.40 | $1,905.46 |
United Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $323.59 | Professional | None | $208.93 | $229.09 | $323.59 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where Arizona sits
The same service costs 2.8 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· 45th of 51
$269
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.