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 $18.62 Median $19.05 Typical High $35.48 | Professional | None | $18.62 | $19.05 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $70.79 Typical High $109.65 | Facility | None | $15.85 | $70.79 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $123.03 | Professional | None | $17.38 | $17.38 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $38.02 | Facility | None | $25.70 | $36.31 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $26.92 | Facility | None | $18.62 | $20.42 | $26.92 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $25.12 | Professional | None | $21.88 | $23.44 | $25.12 |
United Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $25.12 | Professional | None | $21.88 | $23.44 | $25.12 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Where Arizona sits
The same service costs 2.1 times more in Alabama than in Rhode Island. 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· 2nd of 51
$29.51
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.