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 $46.77 Median $46.77 Typical High $52.48 | Facility | None | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None | $33.11 | $35.48 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $26.30 Median $89.13 Typical High $169.82 | Facility | None | $26.30 | $89.13 | $169.82 |
BCBS Arizona Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $61.66 | Facility | None | $40.74 | $57.54 | $61.66 |
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 $32.36 Median $42.66 Typical High $75.86 | Facility | None | $32.36 | $42.66 | $75.86 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $144.54 Typical High $144.54 | Professional | None | $32.36 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 $16.98 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $16.98 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.76 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.13 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.39 | $3.55 | $3.55 |
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
$32.36
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.