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 $562.34 Median $630.96 Typical High $831.76 | Facility | None | $562.34 | $630.96 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $562.34 | Professional | None | $389.05 | $426.58 | $562.34 |
BCBS Arizona Setting Facility Modifier None Typical Low $181.97 Median $616.60 Typical High $2,041.74 | Facility | None | $181.97 | $616.60 | $2,041.74 |
BCBS Arizona Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $524.81 | Professional | None | $281.84 | $371.54 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $724.44 | Facility | None | $478.63 | $676.08 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $478.63 Typical High $616.60 | Facility | None | $169.82 | $478.63 | $616.60 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | None | $371.54 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
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 $194.98 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $58.88 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.90 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | JZ · No drug discarded | $389.05 | $389.05 | $389.05 |
Where Arizona sits
The same service costs 1.7 times more in Alaska than in Oklahoma. 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· 14th of 51
$398
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.