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 $35.48 Median $35.48 Typical High $39.81 | Facility | None | $35.48 | $35.48 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None | $30.20 | $31.62 | $31.62 |
BCBS Setting Facility Modifier None Typical Low $10.00 Median $33.88 Typical High $128.82 | Facility | None | $10.00 | $33.88 | $128.82 |
BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $35.48 | Professional | None | $23.99 | $23.99 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $53.70 | Facility | None | $35.48 | $50.12 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $89.13 | Facility | None | $21.88 | $26.30 | $89.13 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $933.25 Typical High $933.25 | Professional | None | $19.95 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | None | $24.55 | $24.55 | $26.30 |
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 $15.14 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.57 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.02 | $3.16 | $3.16 |
Where Arizona sits
The same service costs 2.5 times more in Wyoming 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· 41st of 51
$28.84
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.