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 $72.44 Median $97.72 Typical High $131.83 | Professional | None | $72.44 | $97.72 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | None | $100.00 | $109.65 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $114.82 Median $524.81 Typical High $794.33 | Facility | None | $114.82 | $524.81 | $794.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $138.04 | Professional | None | $85.11 | $114.82 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $194.98 | Professional | None | $93.33 | $102.33 | $194.98 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $575.44 | Facility | None | $97.72 | $138.04 | $575.44 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $177.83 | Professional | None | $104.71 | $120.23 | $177.83 |
United Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $177.83 | Professional | None | $104.71 | $120.23 | $177.83 |
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 Facility Modifier TD · Registered nurse Typical Low $81.28 Median $81.28 Typical High $91.20 | Facility | TD · Registered nurse | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $16.22 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $10.72 |
Where Arizona sits
The same service costs 2.1 times more in Wisconsin than in Ohio. 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· 40th of 51
$115
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.