How much rates vary
Facilitymedian $417 · 10th to 90th $141 to $1,047Professionalmedian $145 · 10th to 90th $105 to $933
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $169.82 | Professional | None | $93.33 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $218.78 | Professional | None | $114.82 | $181.97 | $218.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $162.18 Median $645.65 Typical High $1,096.48 | Facility | None | $162.18 | $645.65 | $1,096.48 |
BCBS Arizona Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $169.82 | Professional | None | $112.20 | $141.25 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $208.93 | Professional | None | $107.15 | $128.82 | $208.93 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $724.44 | Facility | None | $123.03 | $162.18 | $724.44 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $933.25 Typical High $1,122.02 | Professional | None | $162.18 | $933.25 | $1,122.02 |
United Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | None | $134.90 | $162.18 | $204.17 |
12 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 Facility Modifier 52 · Reduced service Typical Low $61.66 Median $67.61 Typical High $75.86 | Facility | 52 · Reduced service | $61.66 | $67.61 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $20.42 Typical High $22.91 | Facility | 55 · Aftercare only | $18.62 | $20.42 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.49 Typical High $15.14 | Facility | 56 · Pre-op care only | $12.30 | $13.49 | $15.14 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $123.03 Median $134.90 Typical High $154.88 | Facility | AF · Specialist physician | $123.03 | $134.90 | $154.88 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $93.33 Median $102.33 Typical High $114.82 | Facility | HO · Master's level | $93.33 | $102.33 | $114.82 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $104.71 Median $114.82 Typical High $128.82 | Facility | TD · Registered nurse | $104.71 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $18.62 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $12.30 | $14.79 | $14.79 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | AF · Specialist physician | $123.03 | $147.91 | $147.91 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | HO · Master's level | $93.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | TD · Registered nurse | $104.71 | $125.89 | $125.89 |
Where Arizona sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 41st of 51
$145
AK $288AL $123
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.