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 $1.23 Median $1.38 Typical High $1.82 | Facility | None | $1.23 | $1.38 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | None | $0.83 | $0.83 | $0.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.68 Median $2.69 Typical High $4.47 | Facility | None | $0.68 | $2.69 | $4.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $5.75 | Professional | None | $0.81 | $0.81 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $0.93 Median $1.32 Typical High $1.45 | Facility | None | $0.93 | $1.32 | $1.45 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medica Setting Facility Modifier None Typical Low $0.89 Median $1.07 Typical High $1.62 | Facility | None | $0.89 | $1.07 | $1.62 |
Medica Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
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 $0.42 Median $0.42 Typical High $0.42 | Professional | 52 · Reduced service | $0.42 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Where Arizona sits
The same service costs 3.9 times more in Wyoming than in Delaware. 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· 5th of 51
$1.32
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.