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 $467.74 Median $524.81 Typical High $676.08 | Facility | None | $467.74 | $524.81 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | None | $346.74 | $363.08 | $363.08 |
BCBS Arizona Setting Facility Modifier None Typical Low $275.42 Median $1,230.27 Typical High $1,862.09 | Facility | None | $275.42 | $1,230.27 | $1,862.09 |
BCBS Arizona Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $467.74 | Professional | None | $309.03 | $309.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $616.60 | Facility | None | $407.38 | $575.44 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $416.87 Typical High $501.19 | Facility | None | $316.23 | $416.87 | $501.19 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $1,148.15 Typical High $1,380.38 | Professional | None | $316.23 | $1,148.15 | $1,380.38 |
United Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | None | $323.59 | $323.59 | $331.13 |
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 $169.82 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $169.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $36.31 |
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· 33rd of 51
$331
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.