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 $44.67 Median $44.67 Typical High $48.98 | Facility | None | $44.67 | $44.67 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | None | $32.36 | $33.88 | $33.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $27.54 Median $117.49 Typical High $190.55 | Facility | None | $27.54 | $117.49 | $190.55 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $44.67 | Professional | None | $29.51 | $29.51 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $53.70 Typical High $57.54 | Facility | None | $38.02 | $53.70 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $40.74 Typical High $75.86 | Facility | None | $30.90 | $40.74 | $75.86 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $112.20 Typical High $134.90 | Professional | None | $30.90 | $112.20 | $134.90 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | None | $30.90 | $30.90 | $31.62 |
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 $16.22 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.22 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.46 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $4.79 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.24 | $3.39 | $3.39 |
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· 27th of 51
$30.90
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.