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 $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.89 | $6.76 | $6.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.79 Median $66.07 Typical High $102.33 | Facility | None | $14.79 | $66.07 | $102.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $64.57 | Professional | None | $37.15 | $48.98 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $281.84 | Facility | None | $34.67 | $74.13 | $281.84 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $77.62 Typical High $316.23 | Professional | None | $30.20 | $77.62 | $316.23 |
United Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $77.62 | Professional | None | $30.20 | $38.90 | $77.62 |
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 56 · Pre-op care only Typical Low $4.17 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.17 | $4.57 | $4.57 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Arizona sits
The same service costs 6.6 times more in Hawaii than in Wyoming. 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· 23rd of 51
$45.71
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.