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 $28.84 Median $28.84 Typical High $44.67 | Professional | None | $28.84 | $28.84 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $24.55 Median $107.15 Typical High $169.82 | Facility | None | $24.55 | $107.15 | $169.82 |
BCBS Arizona Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $190.55 | Professional | None | $27.54 | $27.54 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $56.23 Typical High $58.88 | Facility | None | $39.81 | $56.23 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $31.62 Typical High $41.69 | Facility | None | $28.84 | $31.62 | $41.69 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.90 | Professional | None | $33.88 | $36.31 | $38.90 |
United Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.90 | Professional | None | $33.88 | $36.31 | $38.90 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Where Arizona sits
The same service costs 1.6 times more in Arizona 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· 1st of 51
$45.71
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.