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 $25.12 Median $38.90 Typical High $39.81 | Professional | None | $25.12 | $38.90 | $39.81 |
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 $30.90 Median $53.70 Typical High $69.18 | Professional | None | $30.90 | $53.70 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $66.07 | Facility | None | $22.91 | $30.20 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $58.88 | Professional | None | $26.30 | $40.74 | $58.88 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $316.23 Typical High $1,584.89 | Facility | None | $39.81 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $213.80 Typical High $331.13 | Professional | None | $40.74 | $213.80 | $331.13 |
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 $27.54 Median $39.81 Typical High $57.54 | Professional | None | $27.54 | $39.81 | $57.54 |
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 $12.59 Median $19.50 Typical High $19.95 | Professional | 52 · Reduced service | $12.59 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $5.01 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.89 Typical High $6.03 | Professional | 55 · Aftercare only | $3.80 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.89 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.51 | $3.89 | $3.98 |
Where Arizona sits
The same service costs 3.3 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· 35th of 51
$44.67
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.