How much rates vary
Facilitymedian $60 · 10th to 90th $39 to $234Professionalmedian $55 · 10th to 90th $31 to $302
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 $30.90 Median $46.77 Typical High $63.10 | Facility | None | $30.90 | $46.77 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $70.79 | Professional | None | $26.92 | $40.74 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $95.50 | Professional | None | $51.29 | $66.07 | $95.50 |
BCBS Arizona Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $63.10 | Professional | None | $33.88 | $47.86 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $234.42 | Facility | None | $95.50 | $109.65 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $79.43 | Professional | None | $38.02 | $57.54 | $79.43 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $263.03 | Facility | None | $38.90 | $60.26 | $263.03 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $302.00 Typical High $457.09 | Professional | None | $63.10 | $302.00 | $457.09 |
United Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $77.62 | Professional | None | $42.66 | $58.88 | $77.62 |
14 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 Facility Modifier 52 · Reduced service Typical Low $17.78 Median $19.50 Typical High $28.18 | Facility | 52 · Reduced service | $17.78 | $19.50 | $28.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.37 Median $5.89 Typical High $8.51 | Facility | 55 · Aftercare only | $5.37 | $5.89 | $8.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.89 Typical High $5.62 | Facility | 56 · Pre-op care only | $3.55 | $3.89 | $5.62 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $35.48 Median $38.90 Typical High $56.23 | Facility | AF · Specialist physician | $35.48 | $38.90 | $56.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $26.92 Median $29.51 Typical High $42.66 | Facility | HO · Master's level | $26.92 | $29.51 | $42.66 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $30.20 Median $33.11 Typical High $47.86 | Facility | TD · Registered nurse | $30.20 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $17.78 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $5.37 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.55 | $5.50 | $5.50 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $35.48 Median $54.95 Typical High $60.26 | Professional | AF · Specialist physician | $35.48 | $54.95 | $60.26 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $26.92 Median $40.74 Typical High $45.71 | Professional | HO · Master's level | $26.92 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $30.20 Median $46.77 Typical High $51.29 | Professional | TD · Registered nurse | $30.20 | $46.77 | $51.29 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $54.95 Median $63.10 Typical High $85.11 | Professional | 25 · Same-day visit | $54.95 | $63.10 | $85.11 |
Ambetter Setting Professional Modifier AQ · Shortage area physician Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | AQ · Shortage area physician | $89.13 | $89.13 | $89.13 |
Where Arizona sits
The same service costs 2.2 times more in Alaska than in New Jersey. 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
$54.95
AK $107NJ $48.98
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.