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 $251.19 Median $281.84 Typical High $323.59 | Facility | None | $251.19 | $281.84 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | None | $162.18 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | None | $177.83 | $213.80 | $213.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $151.36 Median $676.08 Typical High $1,023.29 | Facility | None | $151.36 | $676.08 | $1,023.29 |
BCBS Arizona Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $257.04 | Professional | None | $169.82 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $302.00 | Facility | None | $199.53 | $281.84 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $812.83 | Facility | None | $169.82 | $204.17 | $812.83 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | None | $177.83 | $177.83 | $186.21 |
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 $85.11 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $85.11 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $33.88 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $25.12 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $16.98 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | JZ · No drug discarded | $177.83 | $177.83 | $208.93 |
Where Arizona sits
The same service costs 1.9 times more in Wyoming than in Nevada. 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· 16th of 51
$178
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.