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 $16.22 Median $18.20 Typical High $23.99 | Facility | None | $16.22 | $18.20 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $15.49 | Professional | None | $11.22 | $12.30 | $15.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.79 Median $16.22 Typical High $58.88 | Facility | None | $4.79 | $16.22 | $58.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $77.62 | Professional | None | $10.96 | $10.96 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $20.89 | Facility | None | $13.80 | $19.50 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Medica Setting Facility Modifier None Typical Low $0.79 Median $10.96 Typical High $75.86 | Facility | None | $0.79 | $10.96 | $75.86 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
5 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 $6.17 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.23 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | JW · Drug discarded | $9.55 | $9.55 | $9.55 |
Where Arizona sits
The same service costs 3.3 times more in Alaska than in Texas. 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· 11th of 51
$12.30
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.