How much rates vary
Facilitymedian $513 · 10th to 90th $186 to $1,318Professionalmedian $182 · 10th to 90th $141 to $1,148
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $208.93 | Professional | None | $123.03 | $165.96 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $316.23 | Professional | None | $173.78 | $204.17 | $316.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $199.53 Median $794.33 Typical High $1,380.38 | Facility | None | $199.53 | $794.33 | $1,380.38 |
BCBS Arizona Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $213.80 | Professional | None | $147.91 | $181.97 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $263.03 | Professional | None | $144.54 | $169.82 | $263.03 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $891.25 | Facility | None | $165.96 | $213.80 | $891.25 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $1,148.15 Typical High $1,348.96 | Professional | None | $204.17 | $1,148.15 | $1,348.96 |
United Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $251.19 | Professional | None | $169.82 | $199.53 | $251.19 |
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 $83.18 Median $91.20 Typical High $100.00 | Facility | 52 · Reduced service | $83.18 | $91.20 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $27.54 Typical High $30.20 | Facility | 55 · Aftercare only | $25.12 | $27.54 | $30.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $18.20 Typical High $19.95 | Facility | 56 · Pre-op care only | $16.60 | $18.20 | $19.95 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $165.96 Median $181.97 Typical High $199.53 | Facility | AF · Specialist physician | $165.96 | $181.97 | $199.53 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $123.03 Median $138.04 Typical High $151.36 | Facility | HO · Master's level | $123.03 | $138.04 | $151.36 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $141.25 Median $154.88 Typical High $169.82 | Facility | TD · Registered nurse | $141.25 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $28.18 Typical High $28.84 | Professional | 55 · Aftercare only | $25.12 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $18.62 Typical High $19.50 | Professional | 56 · Pre-op care only | $16.60 | $18.62 | $19.50 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | AF · Specialist physician | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | HO · Master's level | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | TD · Registered nurse | $141.25 | $165.96 | $165.96 |
Where Arizona sits
The same service costs 2.4 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· 42nd of 51
$182
AK $380AL $158
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.