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 $40.74 Median $67.61 Typical High $95.50 | Professional | None | $40.74 | $67.61 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $33.88 Typical High $46.77 | Professional | 52 · Reduced service | $20.42 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.49 Typical High $19.05 | Professional | 53 · Discontinued | $8.13 | $13.49 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.23 Typical High $14.13 | Professional | 55 · Aftercare only | $6.17 | $10.23 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $4.07 | $6.76 | $9.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $213.80 Typical High $323.59 | Facility | None | $50.12 | $213.80 | $323.59 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $77.62 Typical High $93.33 | Professional | None | $29.51 | $77.62 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $66.07 Typical High $91.20 | Professional | None | $36.31 | $66.07 | $91.20 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $138.04 | Facility | None | $40.74 | $75.86 | $138.04 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $363.08 Typical High $645.65 | Professional | None | $74.13 | $363.08 | $645.65 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $91.20 | Professional | None | $30.20 | $46.77 | $91.20 |
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 2.5 times more in Alaska than in Washington, DC. 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· 17th of 51
$77.62
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.