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 $15,848.93 Median $19,952.62 Typical High $19,952.62 | Professional | None | $15,848.93 | $19,952.62 | $19,952.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,943.28 Median $10,000.00 Typical High $10,000.00 | Professional | 52 · Reduced service | $7,943.28 | $10,000.00 | $10,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,162.28 Median $3,981.07 Typical High $3,981.07 | Professional | 53 · Discontinued | $3,162.28 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,398.83 Median $3,019.95 Typical High $3,019.95 | Professional | 55 · Aftercare only | $2,398.83 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,584.89 Median $1,995.26 Typical High $1,995.26 | Professional | 56 · Pre-op care only | $1,584.89 | $1,995.26 | $1,995.26 |
Ambetter Setting Professional Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | None | $18,620.87 | $18,620.87 | $18,620.87 |
BCBS Arizona Setting Facility Modifier None Typical Low $10,000.00 Median $43,651.58 Typical High $64,565.42 | Facility | None | $10,000.00 | $43,651.58 | $64,565.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $9,549.93 Median $10,715.19 Typical High $22,387.21 | Professional | None | $9,549.93 | $10,715.19 | $22,387.21 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $21,877.62 Typical High $28,840.32 | Facility | None | $100.00 | $21,877.62 | $28,840.32 |
Where Arizona sits
The same service costs 524.8 times more in Oklahoma than in Montana. 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· 14th of 51
$19,953
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.