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 $60.26 Median $87.10 Typical High $109.65 | Professional | None | $60.26 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $30.20 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $9.12 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.03 | $8.71 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $134.90 | Professional | None | $97.72 | $109.65 | $134.90 |
BCBS Arizona Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $120.23 | Professional | None | $63.10 | $89.13 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $125.89 | Professional | None | $63.10 | $89.13 | $125.89 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $380.19 | Facility | None | $66.07 | $95.50 | $380.19 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $524.81 Typical High $741.31 | Professional | None | $100.00 | $524.81 | $741.31 |
United Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $123.03 | Professional | None | $66.07 | $91.20 | $123.03 |
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 $102.33 Median $109.65 Typical High $128.82 | Professional | 25 · Same-day visit | $102.33 | $109.65 | $128.82 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 39th of 51
$100
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.