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 $16.22 Median $21.88 Typical High $371.54 | Professional | None | $16.22 | $21.88 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.72 Median $25.70 Typical High $67.61 | Facility | None | $10.72 | $25.70 | $67.61 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.49 Median $95.50 Typical High $389.05 | Professional | None | $13.49 | $95.50 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $48.98 Typical High $371.54 | Professional | None | $15.14 | $48.98 | $371.54 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $371.54 Typical High $537.03 | Facility | None | $16.98 | $371.54 | $537.03 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $1,584.89 Typical High $2,951.21 | Professional | None | $72.44 | $1,584.89 | $2,951.21 |
United Setting Professional Modifier None Typical Low $15.85 Median $74.13 Typical High $331.13 | Professional | None | $15.85 | $74.13 | $331.13 |
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 $8.13 Median $11.48 Typical High $186.21 | Professional | 52 · Reduced service | $8.13 | $11.48 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.57 Typical High $74.13 | Professional | 53 · Discontinued | $3.24 | $4.57 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.47 Typical High $56.23 | Professional | 55 · Aftercare only | $2.45 | $3.47 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.29 Typical High $37.15 | Professional | 56 · Pre-op care only | $1.62 | $2.29 | $37.15 |
Where Arizona sits
The same service costs 28.2 times more in Hawaii 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· 38th 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.