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 $331.13 Median $363.08 Typical High $478.63 | Facility | None | $331.13 | $363.08 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $269.15 | Professional | None | $234.42 | $257.04 | $269.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $194.98 Median $870.96 Typical High $1,318.26 | Facility | None | $194.98 | $870.96 | $1,318.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,548.82 | Professional | None | $218.78 | $218.78 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $407.38 Typical High $436.52 | Facility | None | $288.40 | $407.38 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $363.08 | Facility | None | $229.09 | $295.12 | $363.08 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $25.70 |
Where Arizona sits
The same service costs 1.6 times more in Arizona than in Hawaii. 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· 1st 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.