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 $173.78 Median $229.09 Typical High $269.15 | Facility | None | $173.78 | $229.09 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $181.97 | Professional | None | $141.25 | $144.54 | $181.97 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.13 Median $61.66 Typical High $630.96 | Facility | None | $14.13 | $61.66 | $630.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $812.83 | Professional | None | $114.82 | $114.82 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $245.47 | Facility | None | $162.18 | $229.09 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $33.88 Typical High $389.05 | Facility | None | $27.54 | $33.88 | $389.05 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None | $120.23 | $120.23 | $131.83 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Where Arizona sits
The same service costs 8.7 times more in Texas than in Kansas. 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· 43rd of 51
$120
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.