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 $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
BCBS Arizona Setting Facility Modifier None Typical Low $562.34 Median $2,511.89 Typical High $3,801.89 | Facility | None | $562.34 | $2,511.89 | $3,801.89 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,621.81 | $1,862.09 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $2,089.30 Typical High $9,332.54 | Facility | None | $954.99 | $2,089.30 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $10,232.93 | Professional | None | $812.83 | $1,258.93 | $10,232.93 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Facility | None | $933.25 | $933.25 | $1,047.13 |
United Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,318.26 | Professional | None | $794.33 | $870.96 | $1,318.26 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Where Arizona sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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· 37th of 51
$1,072
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.