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 $1.86 Median $2.63 Typical High $2.63 | Professional | None | $1.86 | $2.63 | $2.63 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.16 | Professional | None | $2.04 | $2.04 | $3.16 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.29 Median $4.37 Typical High $16.98 | Facility | None | $1.29 | $4.37 | $16.98 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $9.55 | Professional | None | $4.27 | $4.27 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Medica Setting Facility Modifier None Typical Low $2.63 Median $3.47 Typical High $8.91 | Facility | None | $2.63 | $3.47 | $8.91 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $1.86 Typical High $21.88 | Professional | None | $1.74 | $1.86 | $21.88 |
United Setting Professional Modifier None Typical Low $1.74 Median $1.86 Typical High $2.63 | Professional | None | $1.74 | $1.86 | $2.63 |
5 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 52 · Reduced service Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 52 · Reduced service | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | AU · Urologic/ostomy supply | $1.20 | $1.20 | $1.20 |
Where Arizona sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 20th of 51
$2.63
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.