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 $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Ambetter Setting Professional Modifier None Typical Low $1.35 Median $2.34 Typical High $2.34 | Professional | None | $1.35 | $2.34 | $2.34 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.78 Median $3.47 Typical High $5.25 | Facility | None | $0.78 | $3.47 | $5.25 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.24 Median $2.57 Typical High $4.68 | Professional | None | $2.24 | $2.57 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | None | $1.48 | $1.48 | $1.74 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $2.88 Typical High $79.43 | Facility | None | $1.74 | $2.88 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.12 Median $1.66 Typical High $14.45 | Professional | None | $1.12 | $1.66 | $14.45 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.23 Typical High $1.82 | Professional | None | $1.10 | $1.23 | $1.82 |
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 $0.87 Median $0.87 Typical High $0.87 | Professional | 52 · Reduced service | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Where Arizona sits
The same service costs 2.2 times more in Kansas than in Alabama. 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
$1.74
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.