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 $2.40 Median $2.69 Typical High $3.55 | Facility | None | $2.40 | $2.69 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $3.31 | Professional | None | $2.29 | $2.51 | $3.31 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.41 Median $6.17 Typical High $9.33 | Facility | None | $1.41 | $6.17 | $9.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $11.22 | Professional | None | $1.58 | $1.58 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $4.07 Typical High $4.27 | Facility | None | $2.82 | $4.07 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Medica Setting Facility Modifier None Typical Low $1.32 Median $1.62 Typical High $2.04 | Facility | None | $1.32 | $1.62 | $2.04 |
Medica Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.86 | Professional | None | $1.66 | $1.66 | $1.86 |
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 $1.26 Median $1.26 Typical High $1.26 | Professional | 52 · Reduced service | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | 55 · Aftercare only | $0.38 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$2.88
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.