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 $81.28 Median $102.33 Typical High $269.15 | Facility | None | $81.28 | $102.33 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $134.90 | Professional | None | $81.28 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $45.71 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.49 Typical High $14.13 | Professional | 55 · Aftercare only | $12.02 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.12 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.13 | $9.12 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | None | $83.18 | $83.18 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $151.36 | Professional | None | $85.11 | $114.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $4,466.84 | Facility | None | $2,691.53 | $3,311.31 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $154.88 | Professional | None | $85.11 | $95.50 | $154.88 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $169.82 | Facility | None | $89.13 | $100.00 | $169.82 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $676.08 Typical High $1,174.90 | Professional | None | $109.65 | $676.08 | $1,174.90 |
United Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $147.91 | Professional | None | $97.72 | $112.20 | $147.91 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $97.72 Median $177.83 Typical High $407.38 | Professional | 25 · Same-day visit | $97.72 | $177.83 | $407.38 |
Where Arizona sits
The same service costs 2.7 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· 42nd of 51
$110
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.