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 $12.02 Median $13.49 Typical High $17.78 | Facility | None | $12.02 | $13.49 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.41 Median $32.36 Typical High $56.23 | Facility | None | $7.41 | $32.36 | $56.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $56.23 | Professional | None | $7.94 | $7.94 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $14.79 Typical High $15.49 | Facility | None | $10.47 | $14.79 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $38.90 | Facility | None | $13.49 | $19.05 | $38.90 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
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 $4.57 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 55 · Aftercare only | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.91 | $0.91 | $0.91 |
Where Arizona sits
The same service costs 7.4 times more in Wyoming than in New Jersey. 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· 6th of 51
$15.49
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.