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 $8.32 Median $8.32 Typical High $9.12 | Facility | None | $8.32 | $8.32 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | None | $6.03 | $6.31 | $6.31 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.01 Median $21.88 Typical High $33.88 | Facility | None | $5.01 | $21.88 | $33.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.32 | Professional | None | $5.50 | $5.50 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $9.55 Typical High $10.23 | Facility | None | $6.92 | $9.55 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $6.92 Typical High $8.91 | Facility | None | $5.75 | $6.92 | $8.91 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $25.12 Typical High $25.12 | Professional | None | $5.75 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | None | $5.75 | $5.75 | $5.89 |
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 $3.02 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $3.02 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.20 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.89 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.89 | $0.95 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.60 Median $0.63 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.60 | $0.63 | $0.63 |
Where Arizona sits
The same service costs 1.5 times more in Alaska than in Pennsylvania. 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· 33rd of 51
$5.75
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.