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 $1.12 Median $1.12 Typical High $1.35 | Professional | None | $1.12 | $1.12 | $1.35 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.40 Median $9.55 Typical High $16.22 | Facility | None | $2.40 | $9.55 | $16.22 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.38 Median $1.82 Typical High $3.24 | Professional | None | $1.38 | $1.82 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.70 | Professional | None | $1.17 | $1.17 | $1.70 |
Medica Setting Facility Modifier None Typical Low $1.12 Median $1.62 Typical High $85.11 | Facility | None | $1.12 | $1.62 | $85.11 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $2.51 Typical High $3.47 | Professional | None | $1.58 | $2.51 | $3.47 |
United Setting Professional Modifier None Typical Low $1.12 Median $2.45 Typical High $3.89 | Professional | None | $1.12 | $2.45 | $3.89 |
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 $0.17 Median $0.17 Typical High $0.20 | Professional | 55 · Aftercare only | $0.17 | $0.17 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.14 |
Where Arizona sits
The same service costs 33.1 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· 10th of 51
$2.40
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.