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 $17.38 Median $19.50 Typical High $25.70 | Facility | None | $17.38 | $19.50 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.75 Median $51.29 Typical High $81.28 | Facility | None | $11.75 | $51.29 | $81.28 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $93.33 | Professional | None | $13.18 | $13.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $25.70 | Facility | None | $17.38 | $24.55 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $79.43 | Facility | None | $13.18 | $15.85 | $79.43 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
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 $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 55 · Aftercare only | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.32 |
Where Arizona sits
The same service costs 9.1 times more in Alabama than in Hawaii. 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
$23.44
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.