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 $77.62 Median $85.11 Typical High $114.82 | Facility | None | $77.62 | $85.11 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | None | $58.88 | $61.66 | $61.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $42.66 Median $138.04 Typical High $275.42 | Facility | None | $42.66 | $138.04 | $275.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None | $51.29 | $51.29 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $104.71 | Facility | None | $69.18 | $97.72 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $79.43 | Facility | None | $50.12 | $66.07 | $79.43 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $181.97 Typical High $218.78 | Professional | None | $50.12 | $181.97 | $218.78 |
United Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | None | $53.70 | $53.70 | $56.23 |
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 $29.51 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $29.51 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $11.75 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $8.71 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.89 | $6.17 | $6.17 |
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· 33rd of 51
$56.23
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.