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 $47.86 Median $74.13 Typical High $100.00 | Professional | None | $47.86 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $37.15 Typical High $48.98 | Professional | 52 · Reduced service | $23.99 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $14.79 Typical High $19.50 | Professional | 53 · Discontinued | $9.55 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $10.96 Typical High $14.45 | Professional | 55 · Aftercare only | $7.24 | $10.96 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.41 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.79 | $7.41 | $9.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $245.47 Typical High $371.54 | Facility | None | $57.54 | $245.47 | $371.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $34.67 Median $81.28 Typical High $97.72 | Professional | None | $34.67 | $81.28 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $95.50 | Professional | None | $41.69 | $69.18 | $95.50 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $144.54 | Facility | None | $47.86 | $83.18 | $144.54 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $380.19 Typical High $676.08 | Professional | None | $77.62 | $380.19 | $676.08 |
United Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $93.33 | Professional | None | $30.20 | $52.48 | $93.33 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 22nd of 51
$81.28
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.