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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $3,548.13 Typical High $5,370.32 | Facility | None | $776.25 | $3,548.13 | $5,370.32 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $4,677.35 | Professional | None | $2,290.87 | $2,570.40 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $13,489.63 | Facility | None | $1,318.26 | $2,951.21 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $15,848.93 | Professional | None | $1,148.15 | $1,778.28 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,479.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,230.27 | $1,862.09 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Where Arizona sits
The same service costs 3.0 times more in Iowa 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
$1,514
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.