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 $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $3.89 Typical High $3.89 | Professional | None | $2.19 | $3.89 | $3.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.26 Median $5.75 Typical High $8.71 | Facility | None | $1.26 | $5.75 | $8.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $7.59 | Professional | None | $3.72 | $4.17 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $3.55 | Facility | None | $2.82 | $2.82 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.82 | Professional | None | $2.40 | $2.40 | $2.82 |
Medica Setting Facility Modifier None Typical Low $2.82 Median $4.79 Typical High $79.43 | Facility | None | $2.82 | $4.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.86 Median $2.69 Typical High $23.44 | Professional | None | $1.86 | $2.69 | $23.44 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.00 Typical High $3.02 | Professional | None | $1.82 | $2.00 | $3.02 |
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 $1.41 Median $1.41 Typical High $1.41 | Professional | 52 · Reduced service | $1.41 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.43 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
Where Arizona sits
The same service costs 2.2 times more in Kansas than in New Jersey. 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· 43rd of 51
$2.82
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.