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 $61.66 Median $81.28 Typical High $91.20 | Facility | None | $61.66 | $81.28 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $60.26 | Professional | None | $43.65 | $47.86 | $60.26 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $162.18 Typical High $245.47 | Facility | None | $36.31 | $162.18 | $245.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $288.40 | Professional | None | $40.74 | $40.74 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $81.28 | Facility | None | $53.70 | $75.86 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $54.95 Typical High $75.86 | Facility | None | $41.69 | $54.95 | $75.86 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Where Arizona sits
The same service costs 1.6 times more in Arizona 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· 1st 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.