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 $3,548.13 Median $3,890.45 Typical High $5,128.61 | Facility | None | $3,548.13 | $3,890.45 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,630.27 | $2,818.38 | $2,818.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $2,137.96 Median $9,332.54 Typical High $14,454.40 | Facility | None | $2,137.96 | $9,332.54 | $14,454.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,548.13 | Professional | None | $2,344.23 | $2,344.23 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $4,786.30 | Facility | None | $3,162.28 | $4,466.84 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $3,801.89 | Facility | None | $2,454.71 | $3,235.94 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $8,709.64 Typical High $10,715.19 | Professional | None | $2,454.71 | $8,709.64 | $10,715.19 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,454.71 | $2,570.40 |
5 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 $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,318.26 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $524.81 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,995.26 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $398.11 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $263.03 | $281.84 | $281.84 |
Where Arizona sits
Rates are fairly even across states for this service. 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· 32nd of 51
$2,570
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.