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 $234.42 Median $234.42 Typical High $616.60 | Professional | None | $234.42 | $234.42 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $691.83 | Professional | None | $588.84 | $691.83 | $691.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $154.88 Median $707.95 Typical High $1,071.52 | Facility | None | $154.88 | $707.95 | $1,071.52 |
BCBS Arizona Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $954.99 | Professional | None | $457.09 | $524.81 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $1,318.26 Typical High $3,162.28 | Facility | None | $257.04 | $1,318.26 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $4,466.84 | Professional | None | $457.09 | $537.03 | $4,466.84 |
United Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $776.25 | Professional | None | $389.05 | $478.63 | $776.25 |
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 $117.49 Median $117.49 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $29.51 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $29.51 |
Where Arizona sits
The same service costs 2.2 times more in Kansas 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· 47th of 51
$479
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.