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 $56.23 Median $61.66 Typical High $77.62 | Professional | None | $56.23 | $61.66 | $77.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $31.62 Median $138.04 Typical High $204.17 | Facility | None | $31.62 | $138.04 | $204.17 |
BCBS Arizona Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $109.65 | Professional | None | $60.26 | $77.62 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $169.82 Typical High $251.19 | Facility | None | $63.10 | $169.82 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $93.33 Typical High $134.90 | Professional | None | $45.71 | $93.33 | $134.90 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $74.13 Typical High $138.04 | Facility | None | $56.23 | $74.13 | $138.04 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $562.34 Typical High $588.84 | Professional | None | $60.26 | $562.34 | $588.84 |
United Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $128.82 | Professional | None | $53.70 | $63.10 | $128.82 |
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 $28.18 Median $30.90 Typical High $38.02 | Professional | 52 · Reduced service | $28.18 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.30 Typical High $15.14 | Professional | 53 · Discontinued | $11.22 | $12.30 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.12 Typical High $11.48 | Professional | 55 · Aftercare only | $8.51 | $9.12 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.17 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.62 | $6.17 | $7.59 |
Where Arizona sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 39th of 51
$87.10
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.