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 $52.48 Median $52.48 Typical High $58.88 | Facility | None | $52.48 | $52.48 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $32.36 Median $141.25 Typical High $223.87 | Facility | None | $32.36 | $141.25 | $223.87 |
BCBS Arizona Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None | $34.67 | $34.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $67.61 | Facility | None | $44.67 | $63.10 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $48.98 Typical High $75.86 | Facility | None | $37.15 | $48.98 | $75.86 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $165.96 Typical High $165.96 | Professional | None | $37.15 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None | $36.31 | $36.31 | $37.15 |
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 $19.05 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.05 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.59 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.75 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.80 | $3.98 | $3.98 |
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· 17th of 51
$37.15
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.