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 $14.45 Median $38.02 Typical High $70.79 | Professional | None | $14.45 | $38.02 | $70.79 |
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 $16.22 Median $67.61 Typical High $112.20 | Professional | None | $16.22 | $67.61 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $138.04 | Facility | None | $60.26 | $72.44 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $58.88 Typical High $91.20 | Professional | None | $15.14 | $58.88 | $91.20 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $309.03 Typical High $1,862.09 | Facility | None | $70.79 | $309.03 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $295.12 Typical High $588.84 | Professional | None | $67.61 | $295.12 | $588.84 |
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 $14.45 Median $58.88 Typical High $91.20 | Professional | None | $14.45 | $58.88 | $91.20 |
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 $7.08 Median $12.88 Typical High $35.48 | Professional | 52 · Reduced service | $7.08 | $12.88 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $5.13 Typical High $14.13 | Professional | 53 · Discontinued | $2.88 | $5.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $3.89 Typical High $10.47 | Professional | 55 · Aftercare only | $2.14 | $3.89 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $2.57 Typical High $7.08 | Professional | 56 · Pre-op care only | $1.45 | $2.57 | $7.08 |
Where Arizona sits
The same service costs 5.9 times more in Iowa 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· 23rd of 51
$74.13
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.