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 $562.34 Median $630.96 Typical High $831.76 | Facility | None | $562.34 | $630.96 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $446.68 | Professional | None | $416.87 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $42.66 | $44.67 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $331.13 Median $1,445.44 Typical High $2,187.76 | Facility | None | $331.13 | $1,445.44 | $2,187.76 |
BCBS Arizona Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | None | $371.54 | $371.54 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $707.95 | Professional | None | $426.58 | $467.74 | $707.95 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $602.56 | Facility | None | $371.54 | $478.63 | $602.56 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $1,584.89 Typical High $1,584.89 | Professional | None | $380.19 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | JW · Drug discarded | $346.74 | $346.74 | $346.74 |
Where Arizona sits
The same service costs 1.5 times more in Alaska than in Oklahoma. 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· 31st of 51
$407
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.