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 $3.09 Median $3.39 Typical High $4.47 | Facility | None | $3.09 | $3.39 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.34 Typical High $2.69 | Professional | None | $2.14 | $2.34 | $2.69 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.82 Median $7.94 Typical High $12.02 | Facility | None | $1.82 | $7.94 | $12.02 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $14.45 | Professional | None | $2.04 | $2.04 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $3.80 Typical High $4.07 | Facility | None | $2.69 | $3.80 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $2.40 Typical High $3.16 | Facility | None | $1.95 | $2.40 | $3.16 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
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 $1.17 Median $1.17 Typical High $1.17 | Professional | 52 · Reduced service | $1.17 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | 53 · Discontinued | $0.47 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.24 | $0.24 | $0.24 |
Where Arizona sits
The same service costs 1.6 times more in Arizona than in Mississippi. 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· 1st of 51
$3.39
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.