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 $107.15 Median $107.15 Typical High $169.82 | Professional | None | $107.15 | $107.15 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $70.79 Median $323.59 Typical High $489.78 | Facility | None | $70.79 | $323.59 | $489.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $426.58 | Professional | None | $208.93 | $234.42 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | None | $104.71 | $104.71 | $141.25 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $562.34 Typical High $1,288.25 | Facility | None | $117.49 | $562.34 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $1,380.38 | Professional | None | $114.82 | $147.91 | $1,380.38 |
United Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $190.55 | Professional | None | $114.82 | $123.03 | $190.55 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Where Arizona sits
The same service costs 2.2 times more in Hawaii than in Delaware. 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· 50th of 51
$129
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.