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 $10.00 Median $10.00 Typical High $10.96 | Professional | None | $10.00 | $10.00 | $10.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.45 Median $34.67 Typical High $91.20 | Facility | None | $14.45 | $34.67 | $91.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $23.44 | Professional | None | $10.47 | $11.22 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $323.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $20.89 | Professional | None | $11.75 | $12.30 | $20.89 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $338.84 Typical High $1,905.46 | Facility | None | $70.79 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $660.69 | Professional | None | $11.48 | $15.85 | $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 $11.22 Median $12.59 Typical High $22.91 | Professional | None | $11.22 | $12.59 | $22.91 |
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 $5.01 Median $5.01 Typical High $5.50 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.19 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.62 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.10 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.10 |
Where Arizona sits
The same service costs 12.3 times more in Florida 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· 32nd of 51
$17.78
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.