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 $112.20 Median $112.20 Typical High $154.88 | Facility | None | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $204.17 | Professional | None | $95.50 | $125.89 | $204.17 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None | $114.82 | $134.90 | $134.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $181.97 Median $794.33 Typical High $1,174.90 | Facility | None | $181.97 | $794.33 | $1,174.90 |
BCBS Arizona Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $263.03 | Professional | None | $117.49 | $117.49 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $302.00 | Professional | None | $112.20 | $144.54 | $302.00 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $302.00 | Facility | None | $125.89 | $141.25 | $302.00 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $1,000.00 | Professional | None | $147.91 | $295.12 | $1,000.00 |
United Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $263.03 | Professional | None | $144.54 | $158.49 | $263.03 |
3 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 $63.10 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $20.42 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $13.80 |
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· 36th of 51
$151
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.