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 $19.95 Median $22.39 Typical High $29.51 | Facility | None | $19.95 | $22.39 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.22 Median $38.90 Typical High $72.44 | Facility | None | $11.22 | $38.90 | $72.44 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $93.33 | Professional | None | $13.49 | $13.49 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $26.30 | Facility | None | $17.38 | $24.55 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $18.62 Typical High $75.86 | Facility | None | $14.13 | $18.62 | $75.86 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $2.29 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.55 | $1.55 | $1.55 |
Where Arizona sits
The same service costs 1.8 times more in Alaska than in Virginia. 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· 3rd of 51
$21.88
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.