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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $33.11 | Professional | None | $21.88 | $23.44 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.23 Median $34.67 Typical High $114.82 | Facility | None | $10.23 | $34.67 | $114.82 |
BCBS Arizona Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $147.91 | Professional | None | $21.38 | $21.38 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $38.02 Typical High $40.74 | Facility | None | $26.92 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $21.88 Typical High $31.62 | Facility | None | $14.45 | $21.88 | $31.62 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | None | $22.39 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $26.30 | Professional | None | $23.99 | $25.12 | $26.30 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.19 | $2.19 | $2.19 |
Where Arizona sits
The same service costs 1.9 times more in Alabama than in Georgia. 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· 8th of 51
$25.12
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.