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 $10.00 Median $13.18 Typical High $15.14 | Facility | None | $10.00 | $13.18 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $8.71 | Professional | None | $8.13 | $8.32 | $8.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.37 Median $17.78 Typical High $35.48 | Facility | None | $5.37 | $17.78 | $35.48 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $46.77 | Professional | None | $6.61 | $6.61 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $13.18 Typical High $14.13 | Facility | None | $9.33 | $13.18 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $8.91 Typical High $15.49 | Facility | None | $6.76 | $8.91 | $15.49 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.83 | $0.83 | $0.83 |
Where Arizona sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 2nd of 51
$10.00
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.