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 $79.43 Median $79.43 Typical High $85.11 | Professional | None | $79.43 | $79.43 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $97.72 Median $380.19 Typical High $630.96 | Facility | None | $97.72 | $380.19 | $630.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None | $70.79 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $125.89 | Professional | None | $81.28 | $87.10 | $125.89 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $524.81 | Facility | None | $79.43 | $89.13 | $524.81 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $933.25 | Professional | None | $79.43 | $141.25 | $933.25 |
United Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $125.89 | Professional | None | $77.62 | $85.11 | $125.89 |
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 $39.81 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $12.59 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $8.51 |
Where Arizona sits
The same service costs 3.1 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· 46th of 51
$87.10
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.