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 $40.74 Median $40.74 Typical High $45.71 | Facility | None | $40.74 | $40.74 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None | $30.20 | $31.62 | $31.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.91 Median $83.18 Typical High $147.91 | Facility | None | $22.91 | $83.18 | $147.91 |
BCBS Arizona Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | None | $27.54 | $27.54 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $56.23 Typical High $60.26 | Facility | None | $39.81 | $56.23 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $38.02 Typical High $79.43 | Facility | None | $28.84 | $38.02 | $79.43 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $67.61 Typical High $144.54 | Professional | None | $28.84 | $67.61 | $144.54 |
United Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
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 $15.14 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.47 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.02 | $3.16 | $3.16 |
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· 24th of 51
$31.62
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.