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 $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $63.10 Median $251.19 Typical High $426.58 | Facility | None | $63.10 | $251.19 | $426.58 |
BCBS Arizona Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $131.83 | Professional | None | $57.54 | $75.86 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $389.05 | Facility | None | $46.77 | $83.18 | $389.05 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $125.89 | Professional | None | $54.95 | $63.10 | $125.89 |
United Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $112.20 | Professional | None | $41.69 | $63.10 | $112.20 |
2 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 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $4.68 |
Where Arizona sits
The same service costs 5.5 times more in Iowa than in Kansas. 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· 28th of 51
$69.18
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.