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 $3.80 Typical High $8.32 | Facility | None | $2.40 | $3.80 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.40 Typical High $4.68 | Professional | None | $2.19 | $2.40 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.63 | Professional | None | $2.19 | $2.19 | $2.63 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.14 Median $8.71 Typical High $14.45 | Facility | None | $2.14 | $8.71 | $14.45 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $14.79 | Professional | None | $2.09 | $2.09 | $14.79 |
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 $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Medica Setting Facility Modifier None Typical Low $2.29 Median $3.63 Typical High $14.45 | Facility | None | $2.29 | $3.63 | $14.45 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
United Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
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 $1.20 Median $1.20 Typical High $1.20 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | 55 · Aftercare only | $0.36 | $0.36 | $0.36 |
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 2.7 times more in Wyoming than in Nevada. 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· 4th of 51
$3.72
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.