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 $0.68 Median $0.93 Typical High $1.35 | Facility | None | $0.68 | $0.93 | $1.35 |
Aetna Setting Professional Modifier None Typical Low $0.66 Median $0.68 Typical High $0.71 | Professional | None | $0.66 | $0.68 | $0.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.26 Median $0.89 Typical High $3.31 | Facility | None | $0.26 | $0.89 | $3.31 |
BCBS Arizona Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $4.37 | Professional | None | $0.62 | $0.62 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $0.76 Median $1.07 Typical High $1.12 | Facility | None | $0.76 | $1.07 | $1.12 |
Cigna Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | None | $0.62 | $0.62 | $0.62 |
Medica Setting Facility Modifier None Typical Low $0.49 Median $0.65 Typical High $4.37 | Facility | None | $0.49 | $0.65 | $4.37 |
Medica Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | None | $0.49 | $0.49 | $0.49 |
United Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
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 $0.34 Median $0.34 Typical High $0.34 | Professional | 52 · Reduced service | $0.34 | $0.34 | $0.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 53 · Discontinued | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 55 · Aftercare only | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.07 | $0.07 | $0.07 |
Where Arizona sits
The same service costs 4.7 times more in Wyoming than in Georgia. 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· 16th of 51
$0.68
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.