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 Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $123.03 | Facility | None | $81.28 | $91.20 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | None | $61.66 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $44.67 Median $162.18 Typical High $295.12 | Facility | None | $44.67 | $162.18 | $295.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | None | $53.70 | $53.70 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $114.82 | Facility | None | $75.86 | $104.71 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $52.48 Typical High $104.71 | Facility | None | $42.66 | $52.48 | $104.71 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $162.18 Typical High $162.18 | Professional | None | $43.65 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | None | $56.23 | $56.23 | $60.26 |
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 $31.62 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.59 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $9.33 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.31 | $6.61 | $6.61 |
Where Arizona sits
The same service costs 2.0 times more in Wyoming than in Hawaii. 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· 16th of 51
$60.26
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.