How much rates vary
Facilitymedian $263 · 10th to 90th $93 to $661Professionalmedian $95 · 10th to 90th $69 to $589
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $117.49 | Professional | None | $61.66 | $81.28 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $169.82 | Professional | None | $85.11 | $109.65 | $169.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $102.33 Median $407.38 Typical High $691.83 | Facility | None | $102.33 | $407.38 | $691.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $112.20 | Professional | None | $69.18 | $87.10 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $141.25 | Professional | None | $70.79 | $91.20 | $141.25 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $489.78 | Facility | None | $83.18 | $114.82 | $489.78 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $588.84 Typical High $741.31 | Professional | None | $112.20 | $588.84 | $741.31 |
United Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $134.90 | Professional | None | $85.11 | $107.15 | $134.90 |
12 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 $40.74 Median $44.67 Typical High $53.70 | Facility | 52 · Reduced service | $40.74 | $44.67 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.30 Median $13.49 Typical High $16.22 | Facility | 55 · Aftercare only | $12.30 | $13.49 | $16.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.91 Typical High $10.72 | Facility | 56 · Pre-op care only | $8.13 | $8.91 | $10.72 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $81.28 Median $89.13 Typical High $107.15 | Facility | AF · Specialist physician | $81.28 | $89.13 | $107.15 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $61.66 Median $67.61 Typical High $81.28 | Facility | HO · Master's level | $61.66 | $67.61 | $81.28 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $69.18 Median $75.86 Typical High $91.20 | Facility | TD · Registered nurse | $69.18 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $14.45 Typical High $15.49 | Professional | 55 · Aftercare only | $12.30 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.55 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.13 | $9.55 | $10.47 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $81.28 Median $102.33 Typical High $104.71 | Professional | AF · Specialist physician | $81.28 | $102.33 | $104.71 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $61.66 Median $75.86 Typical High $77.62 | Professional | HO · Master's level | $61.66 | $75.86 | $77.62 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $69.18 Median $87.10 Typical High $89.13 | Professional | TD · Registered nurse | $69.18 | $87.10 | $89.13 |
Where Arizona sits
The same service costs 2.5 times more in Alaska than in Alabama. 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
$95.50
AK $204AL $83.18
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.