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 $3.02 Median $3.02 Typical High $67.61 | Professional | None | $3.02 | $3.02 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.51 Typical High $33.11 | Professional | 52 · Reduced service | $1.51 | $1.51 | $33.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $309.03 | Facility | None | $48.98 | $117.49 | $309.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $218.78 | Professional | None | $97.72 | $97.72 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Medica Setting Facility Modifier None Typical Low $3.02 Median $3.31 Typical High $100.00 | Facility | None | $3.02 | $3.31 | $100.00 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | None | $123.03 | $123.03 | $190.55 |
3 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 Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.05 Typical High $25.70 | Professional | 53 · Discontinued | $13.80 | $19.05 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $19.05 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.33 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.92 | $9.33 | $12.88 |
Where Arizona sits
The same service costs 83.2 times more in North Dakota than in Kansas. 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
$97.72
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.