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 $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.95 Median $13.18 Typical High $19.95 | Facility | None | $2.95 | $13.18 | $19.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.51 Median $9.77 Typical High $17.78 | Professional | None | $8.51 | $9.77 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | None | $5.01 | $5.13 | $5.13 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $10.96 Typical High $79.43 | Facility | None | $6.61 | $10.96 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $61.66 | Professional | None | $4.90 | $6.61 | $61.66 |
United Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $7.94 | Professional | None | $4.79 | $5.25 | $7.94 |
2 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 55 · Aftercare only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.66 | $0.66 | $0.66 |
Where Arizona sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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· 27th of 51
$6.61
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.