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 $22.39 Median $776.25 Typical High $1,023.29 | Professional | None | $22.39 | $776.25 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $14.79 | $512.86 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,202.26 | $1,584.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.91 Median $91.20 Typical High $158.49 | Facility | None | $22.91 | $91.20 | $158.49 |
BCBS Arizona Setting Professional Modifier None Typical Low $26.92 Median $275.42 Typical High $1,258.93 | Professional | None | $26.92 | $275.42 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $177.83 Typical High $1,258.93 | Facility | None | $29.51 | $177.83 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $1,047.13 Typical High $7,244.36 | Professional | None | $223.87 | $1,047.13 | $7,244.36 |
United Setting Professional Modifier None Typical Low $23.44 Median $891.25 Typical High $1,230.27 | Professional | None | $23.44 | $891.25 | $1,230.27 |
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 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $114.82 |
Where Arizona sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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
$871
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.