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 Facility Modifier None Typical Low $10.00 Median $11.48 Typical High $46.77 | Facility | None | $10.00 | $11.48 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $42.66 | Professional | None | $10.00 | $12.02 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $30.90 | Professional | None | $18.20 | $21.38 | $30.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.61 Median $28.84 Typical High $42.66 | Facility | None | $6.61 | $28.84 | $42.66 |
BCBS Arizona Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $141.25 | Professional | None | $19.95 | $19.95 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $26.30 | Professional | None | $18.62 | $19.50 | $26.30 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $85.11 | Facility | None | $10.00 | $14.45 | $85.11 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $31.62 | Professional | None | $14.45 | $21.38 | $31.62 |
United Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $31.62 | Professional | None | $14.45 | $21.38 | $31.62 |
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 $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Where Arizona sits
The same service costs 5.4 times more in Vermont than in Kansas. 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· 36th of 51
$21.38
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.