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 $57.54 Median $85.11 Typical High $117.49 | Professional | None | $57.54 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $42.66 Typical High $58.88 | Professional | 52 · Reduced service | $28.84 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.98 Typical High $23.44 | Professional | 53 · Discontinued | $11.48 | $16.98 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.59 Typical High $17.38 | Professional | 55 · Aftercare only | $8.71 | $12.59 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.51 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.75 | $8.51 | $11.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $288.40 Typical High $436.52 | Facility | None | $67.61 | $288.40 | $436.52 |
BCBS Arizona Setting Professional Modifier None Typical Low $40.74 Median $93.33 Typical High $112.20 | Professional | None | $40.74 | $93.33 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $109.65 | Professional | None | $50.12 | $77.62 | $109.65 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $173.78 | Facility | None | $57.54 | $89.13 | $173.78 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $457.09 Typical High $776.25 | Professional | None | $89.13 | $457.09 | $776.25 |
United Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $107.15 | Professional | None | $30.20 | $61.66 | $107.15 |
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· 25th of 51
$91.20
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.