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 $107.15 Median $141.25 Typical High $154.88 | Facility | None | $107.15 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | None | $72.44 | $79.43 | $79.43 |
BCBS Arizona Setting Facility Modifier None Typical Low $69.18 Median $288.40 Typical High $478.63 | Facility | None | $69.18 | $288.40 | $478.63 |
BCBS Arizona Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $97.72 | Professional | None | $52.48 | $70.79 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $138.04 | Facility | None | $91.20 | $128.82 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | None | $72.44 | $72.44 | $74.13 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $199.53 | Facility | None | $81.28 | $109.65 | $199.53 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | None | $77.62 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $36.31 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.24 | $7.94 | $7.94 |
Where Arizona sits
The same service costs 1.6 times more in Hawaii than in Delaware. 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· 9th of 51
$83.18
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.