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 $87.10 Median $95.50 Typical High $125.89 | Facility | None | $87.10 | $95.50 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None | $61.66 | $64.57 | $64.57 |
BCBS Arizona Setting Facility Modifier None Typical Low $54.95 Median $229.09 Typical High $380.19 | Facility | None | $54.95 | $229.09 | $380.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | None | $57.54 | $57.54 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $109.65 | Facility | None | $72.44 | $102.33 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $83.18 Typical High $100.00 | Facility | None | $63.10 | $83.18 | $100.00 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $302.00 Typical High $302.00 | Professional | None | $63.10 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | None | $60.26 | $60.26 | $63.10 |
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 $30.90 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.12 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.17 | $6.46 | $6.46 |
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· 13th of 51
$63.10
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.