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 $13.80 Median $17.38 Typical High $22.91 | Professional | None | $13.80 | $17.38 | $22.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.94 Median $34.67 Typical High $51.29 | Facility | None | $7.94 | $34.67 | $51.29 |
BCBS Arizona Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $30.90 | Professional | None | $15.14 | $21.38 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $41.69 Typical High $61.66 | Facility | None | $15.49 | $41.69 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $24.55 Typical High $36.31 | Professional | None | $11.75 | $24.55 | $36.31 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $38.90 | Facility | None | $13.80 | $19.95 | $38.90 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $138.04 Typical High $165.96 | Professional | None | $16.60 | $138.04 | $165.96 |
United Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $32.36 | Professional | None | $13.18 | $17.38 | $32.36 |
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 $6.92 Median $8.71 Typical High $9.33 | Professional | 52 · Reduced service | $6.92 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.47 Typical High $3.72 | Professional | 53 · Discontinued | $2.75 | $3.47 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.57 Typical High $2.82 | Professional | 55 · Aftercare only | $2.09 | $2.57 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.74 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.38 | $1.74 | $1.86 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 38th of 51
$22.91
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.