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 $79.43 Median $89.13 Typical High $117.49 | Facility | None | $79.43 | $89.13 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $46.77 Median $208.93 Typical High $323.59 | Facility | None | $46.77 | $208.93 | $323.59 |
BCBS Arizona Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $74.13 | Professional | None | $39.81 | $52.48 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $107.15 | Facility | None | $70.79 | $100.00 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $87.10 | Facility | None | $26.92 | $66.07 | $87.10 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $54.95 | Professional | None | $47.86 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $28.18 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $28.18 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.62 | $6.31 | $6.31 |
Where Arizona sits
The same service costs 1.6 times more in Alaska than in Louisiana. 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· 36th of 51
$56.23
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.