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 $38.02 Median $41.69 Typical High $54.95 | Facility | None | $38.02 | $41.69 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $28.18 Typical High $28.18 | Professional | None | $12.02 | $28.18 | $28.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.47 Median $15.14 Typical High $64.57 | Facility | None | $4.47 | $15.14 | $64.57 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $83.18 | Professional | None | $12.02 | $12.02 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $20.89 Typical High $22.39 | Facility | None | $14.79 | $20.89 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $63.10 | Facility | None | $25.70 | $30.90 | $63.10 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $12.30 | Professional | None | $11.22 | $11.22 | $12.30 |
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | None | $12.30 | $12.30 | $14.79 |
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 $13.80 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 55 · Aftercare only | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
Where Arizona sits
The same service costs 1.9 times more in Alaska than in Pennsylvania. 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· 10th of 51
$14.79
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.