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 $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $4.07 Typical High $4.07 | Professional | None | $3.09 | $4.07 | $4.07 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.35 Median $6.03 Typical High $9.12 | Facility | None | $1.35 | $6.03 | $9.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.89 Median $4.47 Typical High $8.13 | Professional | None | $3.89 | $4.47 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.02 | Professional | None | $2.57 | $2.57 | $3.02 |
Medica Setting Facility Modifier None Typical Low $3.02 Median $5.01 Typical High $79.43 | Facility | None | $3.02 | $5.01 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $25.12 | Professional | None | $1.95 | $2.82 | $25.12 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.14 Typical High $3.24 | Professional | None | $1.91 | $2.14 | $3.24 |
4 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 $1.51 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.30 | $0.30 | $0.30 |
Where Arizona sits
The same service costs 2.3 times more in Kansas than in Connecticut. 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· 34th of 51
$3.02
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.