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 Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | None | $79.43 | $79.43 | $104.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $53.70 Median $239.88 Typical High $363.08 | Facility | None | $53.70 | $239.88 | $363.08 |
BCBS Arizona Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $323.59 | Professional | None | $154.88 | $177.83 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $316.23 Typical High $1,096.48 | Facility | None | $89.13 | $316.23 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $1,659.59 | Professional | None | $147.91 | $173.78 | $1,659.59 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Facility | None | $213.80 | $213.80 | $234.42 |
United Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $245.47 | Professional | None | $123.03 | $162.18 | $245.47 |
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 $39.81 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $15.85 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $15.85 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $10.47 |
Where Arizona sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 46th of 51
$162
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.