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 $1,819.70 Median $1,819.70 Typical High $2,041.74 | Facility | None | $1,819.70 | $1,819.70 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,318.26 | $1,380.38 | $1,380.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,258.93 Median $5,011.87 Typical High $8,317.64 | Facility | None | $1,258.93 | $5,011.87 | $8,317.64 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,230.27 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,344.23 | Facility | None | $1,548.82 | $2,187.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $2,187.76 | Facility | None | $776.25 | $1,659.59 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $6,165.95 Typical High $6,165.95 | Professional | None | $1,380.38 | $6,165.95 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,258.93 | $1,348.96 |
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 $660.69 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $660.69 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $263.03 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $194.98 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $138.04 |
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· 12th of 51
$1,380
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.