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 Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $208.93 | Facility | None | $74.13 | $128.82 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | None | $77.62 | $77.62 | $100.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $29.51 Median $125.89 Typical High $190.55 | Facility | None | $29.51 | $125.89 | $190.55 |
BCBS Arizona Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $91.20 | Professional | None | $61.66 | $83.18 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $77.62 Typical High $104.71 | Professional | None | $29.51 | $77.62 | $104.71 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $389.05 | Facility | None | $77.62 | $87.10 | $389.05 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $537.03 | Professional | None | $74.13 | $87.10 | $537.03 |
United Setting Professional Modifier None Typical Low $27.54 Median $77.62 Typical High $109.65 | Professional | None | $27.54 | $77.62 | $109.65 |
5 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 $38.90 Median $38.90 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $8.13 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | GN · Speech therapy plan | $58.88 | $58.88 | $58.88 |
Where Arizona sits
The same service costs 2.9 times more in Alaska than in Utah. 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· 45th 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.