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 $109.65 Median $144.54 Typical High $158.49 | Facility | None | $109.65 | $144.54 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | None | $77.62 | $85.11 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $64.57 Median $288.40 Typical High $436.52 | Facility | None | $64.57 | $288.40 | $436.52 |
BCBS Arizona Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | None | $72.44 | $72.44 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $144.54 | Facility | None | $95.50 | $134.90 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $117.49 | Facility | None | $74.13 | $97.72 | $117.49 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
6 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 $39.81 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.85 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | 54 · Surgery only | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.94 | $8.51 | $8.51 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | JZ · No drug discarded | $75.86 | $75.86 | $75.86 |
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· 22nd of 51
$75.86
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.