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 $1.48 Median $4.17 Typical High $4.17 | Facility | None | $1.48 | $4.17 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.48 Typical High $2.04 | Professional | None | $1.35 | $1.48 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.62 | Professional | None | $1.15 | $1.15 | $1.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.15 Median $5.01 Typical High $7.41 | Facility | None | $1.15 | $5.01 | $7.41 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $9.12 | Professional | None | $1.29 | $1.29 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $1.66 Median $2.34 Typical High $2.51 | Facility | None | $1.66 | $2.34 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Medica Setting Facility Modifier None Typical Low $1.29 Median $1.82 Typical High $5.62 | Facility | None | $1.29 | $1.82 | $5.62 |
Medica Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
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 $0.76 Median $0.76 Typical High $0.76 | Professional | 52 · Reduced service | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 53 · Discontinued | $0.30 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 55 · Aftercare only | $0.22 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Where Arizona sits
The same service costs 3.2 times more in Wyoming than in Maine. 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
$2.14
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.