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 $39.81 Median $63.10 Typical High $81.28 | Professional | None | $39.81 | $63.10 | $81.28 |
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 $46.77 Median $117.49 Typical High $151.36 | Professional | None | $46.77 | $117.49 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $147.91 | Facility | None | $66.07 | $79.43 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $70.79 Typical High $100.00 | Professional | None | $40.74 | $70.79 | $100.00 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $1,584.89 | Facility | None | $57.54 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $338.84 Typical High $645.65 | Professional | None | $70.79 | $338.84 | $645.65 |
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 $38.90 Median $66.07 Typical High $93.33 | Professional | None | $38.90 | $66.07 | $93.33 |
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 $19.95 Median $33.11 Typical High $40.74 | Professional | 52 · Reduced service | $19.95 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $7.94 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $10.00 Typical High $12.30 | Professional | 55 · Aftercare only | $6.03 | $10.00 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.61 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.98 | $6.61 | $8.13 |
Where Arizona sits
The same service costs 3.9 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· 26th of 51
$81.28
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.