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 $79.43 Median $79.43 Typical High $109.65 | Facility | None | $79.43 | $79.43 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $128.82 | Professional | None | $69.18 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $10.23 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.92 | $9.55 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $131.83 | Professional | None | $104.71 | $125.89 | $131.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $128.82 | Professional | None | $70.79 | $100.00 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $138.04 | Professional | None | $70.79 | $97.72 | $138.04 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $426.58 | Facility | None | $74.13 | $104.71 | $426.58 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $602.56 Typical High $812.83 | Professional | None | $109.65 | $602.56 | $812.83 |
United Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $134.90 | Professional | None | $74.13 | $102.33 | $134.90 |
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 $104.71 Median $125.89 Typical High $190.55 | Professional | 25 · Same-day visit | $104.71 | $125.89 | $190.55 |
Where Arizona sits
The same service costs 2.7 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· 44th of 51
$107
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.