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 Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | None | $12.88 | $12.88 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.88 Median $51.29 Typical High $89.13 | Facility | None | $12.88 | $51.29 | $89.13 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $19.50 | Professional | None | $13.49 | $15.49 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $16.60 Typical High $29.51 | Facility | None | $12.88 | $16.60 | $29.51 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $165.96 | Professional | None | $13.49 | $16.98 | $165.96 |
United Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $19.05 | Professional | None | $12.88 | $14.45 | $19.05 |
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 $6.46 Median $6.46 Typical High $7.41 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.95 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $2.24 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.48 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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
$14.79
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.