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 $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.82 Median $12.59 Typical High $19.05 | Facility | None | $2.82 | $12.59 | $19.05 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $16.98 | Professional | None | $8.13 | $9.33 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $11.48 Typical High $79.43 | Facility | None | $6.92 | $11.48 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $57.54 | Professional | None | $4.47 | $6.46 | $57.54 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $7.41 | Professional | None | $4.47 | $4.90 | $7.41 |
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 $3.47 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 55 · Aftercare only | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.69 | $0.69 | $0.69 |
Where Arizona sits
The same service costs 2.1 times more in Idaho 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· 33rd of 51
$6.92
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.