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 $19.95 Median $22.39 Typical High $29.51 | Facility | None | $19.95 | $22.39 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | None | $12.30 | $12.88 | $12.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.30 Median $53.70 Typical High $85.11 | Facility | None | $12.30 | $53.70 | $85.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $19.95 | Professional | None | $13.49 | $13.49 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $20.42 Typical High $21.88 | Facility | None | $14.45 | $20.42 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $75.86 | Facility | None | $12.02 | $15.85 | $75.86 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $89.13 Typical High $89.13 | Professional | None | $12.02 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
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 $6.03 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.82 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.29 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.23 | $1.29 | $1.29 |
Where Arizona sits
The same service costs 1.8 times more in Alaska than in Kentucky. 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· 24th of 51
$13.49
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.