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 $269.15 Median $302.00 Typical High $389.05 | Facility | None | $269.15 | $302.00 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | None | $190.55 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $100.00 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $19.95 | $20.89 | $20.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $158.49 Median $707.95 Typical High $1,071.52 | Facility | None | $158.49 | $707.95 | $1,071.52 |
BCBS Arizona Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $269.15 | Professional | None | $177.83 | $177.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $354.81 | Facility | None | $234.42 | $331.13 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $288.40 | Facility | None | $181.97 | $239.88 | $288.40 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | None | $186.21 | $186.21 | $190.55 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | JW · Drug discarded | $186.21 | $186.21 | $190.55 |
Where Arizona sits
Rates are fairly even across states for this service. 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· 26th of 51
$191
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.