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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,000.00 Median $4,466.84 Typical High $6,760.83 | Facility | None | $1,000.00 | $4,466.84 | $6,760.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $6,025.60 | Professional | None | $2,884.03 | $3,311.31 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $3,715.35 Typical High $14,791.08 | Facility | None | $1,698.24 | $3,715.35 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $18,197.01 | Professional | None | $1,318.26 | $2,041.74 | $18,197.01 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Facility | None | $1,230.27 | $1,230.27 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,412.54 | $2,137.96 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Where Arizona sits
The same service costs 3.2 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· 35th of 51
$1,778
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.