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 $21.38 Median $21.38 Typical High $21.88 | Professional | None | $21.38 | $21.38 | $21.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $79.43 Typical High $120.23 | Facility | None | $18.62 | $79.43 | $120.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $104.71 | Professional | None | $14.79 | $14.79 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $39.81 | Professional | None | $17.38 | $27.54 | $39.81 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $45.71 | Facility | None | $21.38 | $23.44 | $45.71 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $36.31 | Professional | None | $17.38 | $25.70 | $36.31 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $43.65 | Professional | None | $17.38 | $25.70 | $43.65 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $2.14 |
Where Arizona sits
The same service costs 4.3 times more in Alaska than in New York. 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
$30.20
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.