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 $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $3,235.94 | Facility | None | $478.63 | $2,137.96 | $3,235.94 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,584.89 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,949.84 Typical High $9,332.54 | Facility | None | $870.96 | $1,949.84 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $12,882.50 | Professional | None | $891.25 | $1,380.38 | $12,882.50 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $977.24 | Facility | None | $691.83 | $691.83 | $977.24 |
United Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,445.44 | Professional | None | $870.96 | $977.24 | $1,445.44 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Where Arizona sits
The same service costs 2.5 times more in Arkansas 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· 32nd of 51
$1,175
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.