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 $30.20 Median $39.81 Typical High $44.67 | Facility | None | $30.20 | $39.81 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $35.48 | Professional | None | $21.88 | $23.99 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $79.43 Typical High $125.89 | Facility | None | $18.62 | $79.43 | $125.89 |
BCBS Arizona Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $141.25 | Professional | None | $19.95 | $19.95 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $38.02 Typical High $40.74 | Facility | None | $26.92 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $75.86 | Facility | None | $21.88 | $28.84 | $75.86 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.40 | $2.40 | $2.40 |
Where Arizona sits
The same service costs 1.9 times more in Alaska than in Maryland. 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
$33.88
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.