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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $794.33 Median $3,630.78 Typical High $5,495.41 | Facility | None | $794.33 | $3,630.78 | $5,495.41 |
BCBS Arizona Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $4,897.79 | Professional | None | $2,344.23 | $2,691.53 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $12,022.64 | Facility | None | $1,348.96 | $3,019.95 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $14,454.40 | Professional | None | $1,047.13 | $1,621.81 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Facility | None | $1,348.96 | $1,348.96 | $1,513.56 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,148.15 | $1,698.24 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
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· 33rd of 51
$1,413
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.