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 $37.15 Median $74.13 Typical High $147.91 | Facility | None | $37.15 | $74.13 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $93.33 | Professional | None | $37.15 | $77.62 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $177.83 | Professional | None | $54.95 | $91.20 | $177.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $134.90 Typical High $354.81 | Facility | None | $57.54 | $134.90 | $354.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $45.71 Median $117.49 Typical High $147.91 | Professional | None | $45.71 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $134.90 | Facility | None | $61.66 | $74.13 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $100.00 | Professional | None | $39.81 | $70.79 | $100.00 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $316.23 Typical High $1,698.24 | Facility | None | $61.66 | $316.23 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $331.13 Typical High $616.60 | Professional | None | $74.13 | $331.13 | $616.60 |
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 $39.81 Median $70.79 Typical High $97.72 | Professional | None | $39.81 | $70.79 | $97.72 |
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 $18.62 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $18.62 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $13.18 Typical High $15.49 | Professional | 53 · Discontinued | $7.41 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $9.77 Typical High $11.48 | Professional | 55 · Aftercare only | $5.62 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $6.61 Typical High $7.76 | Professional | 56 · Pre-op care only | $3.72 | $6.61 | $7.76 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Virginia. 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
$79.43
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.