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 $66.07 Median $66.07 Typical High $93.33 | Facility | None | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $112.20 | Professional | None | $57.54 | $83.18 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $117.49 | Professional | None | $89.13 | $117.49 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $128.82 Median $302.00 Typical High $794.33 | Facility | None | $128.82 | $302.00 | $794.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $154.88 | Professional | None | $70.79 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $141.25 | Facility | None | $64.57 | $75.86 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $114.82 | Professional | None | $54.95 | $75.86 | $114.82 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $316.23 Typical High $1,584.89 | Facility | None | $83.18 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $467.74 Typical High $660.69 | Professional | None | $74.13 | $467.74 | $660.69 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $109.65 | Professional | None | $53.70 | $74.13 | $109.65 |
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 $28.84 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $28.84 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.72 Typical High $12.30 | Professional | 55 · Aftercare only | $8.71 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $8.32 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 39th of 51
$83.18
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.