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 $263.03 Median $338.84 Typical High $407.38 | Professional | None | $263.03 | $338.84 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $467.74 | Professional | None | $346.74 | $354.81 | $467.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $281.84 Median $1,122.02 Typical High $1,949.84 | Facility | None | $281.84 | $1,122.02 | $1,949.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $549.54 | Professional | None | $346.74 | $436.52 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $2,041.74 | Facility | None | $346.74 | $446.68 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $2,398.83 Typical High $2,754.23 | Professional | None | $380.19 | $2,398.83 | $2,754.23 |
United Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $467.74 | Professional | None | $275.42 | $354.81 | $467.74 |
4 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 $173.78 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $34.67 | $40.74 | $40.74 |
Where Arizona sits
The same service costs 2.1 times more in Wyoming 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· 40th of 51
$363
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.