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 $89.13 Median $120.23 Typical High $162.18 | Professional | None | $89.13 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $17.78 Typical High $18.20 | Professional | 55 · Aftercare only | $13.49 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $12.02 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.91 | $12.02 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
BCBS Arizona Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $162.18 | Professional | None | $91.20 | $125.89 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $181.97 | Professional | None | $95.50 | $125.89 | $181.97 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $549.54 | Facility | None | $97.72 | $131.83 | $549.54 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $776.25 Typical High $1,023.29 | Professional | None | $138.04 | $776.25 | $1,023.29 |
United Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $169.82 | Professional | None | $97.72 | $128.82 | $169.82 |
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 $141.25 Median $141.25 Typical High $165.96 | Professional | 25 · Same-day visit | $141.25 | $141.25 | $165.96 |
Where Arizona sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 41st of 51
$135
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.