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 $16.60 Median $18.62 Typical High $24.55 | Facility | None | $16.60 | $18.62 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $21.38 | Professional | None | $11.48 | $12.59 | $21.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.37 Median $18.20 Typical High $60.26 | Facility | None | $5.37 | $18.20 | $60.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $77.62 | Professional | None | $11.22 | $11.22 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $21.38 | Facility | None | $14.13 | $19.95 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $75.86 | Facility | None | $11.75 | $15.14 | $75.86 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
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 $1.86 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.26 |
Where Arizona sits
The same service costs 1.5 times more in Alaska than in West Virginia. 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· 12th of 51
$12.88
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.