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 $47.86 Median $165.96 Typical High $234.42 | Facility | None | $47.86 | $165.96 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $67.61 Typical High $89.13 | Professional | None | $30.20 | $67.61 | $89.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $31.62 Median $134.90 Typical High $204.17 | Facility | None | $31.62 | $134.90 | $204.17 |
BCBS Arizona Setting Professional Modifier None Typical Low $22.39 Median $60.26 Typical High $89.13 | Professional | None | $22.39 | $60.26 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $70.79 Typical High $131.83 | Professional | None | $26.92 | $70.79 | $131.83 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $85.11 Typical High $120.23 | Facility | None | $30.20 | $85.11 | $120.23 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $309.03 Typical High $588.84 | Professional | None | $77.62 | $309.03 | $588.84 |
United Setting Professional Modifier None Typical Low $26.30 Median $67.61 Typical High $128.82 | Professional | None | $26.30 | $67.61 | $128.82 |
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 $14.79 Median $25.70 Typical High $42.66 | Professional | 52 · Reduced service | $14.79 | $25.70 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $10.23 Typical High $16.98 | Professional | 53 · Discontinued | $6.03 | $10.23 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $7.94 Typical High $12.88 | Professional | 55 · Aftercare only | $4.47 | $7.94 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $5.25 Typical High $8.51 | Professional | 56 · Pre-op care only | $3.02 | $5.25 | $8.51 |
Where Arizona sits
The same service costs 3.6 times more in North Carolina than in Washington, DC. 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· 25th of 51
$79.43
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.