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 Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None | $23.99 | $23.99 | $33.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $72.44 Typical High $109.65 | Facility | None | $15.85 | $72.44 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $95.50 | Professional | None | $46.77 | $52.48 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | None | $25.12 | $25.12 | $33.88 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $60.26 Typical High $288.40 | Facility | None | $23.99 | $60.26 | $288.40 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $309.03 | Professional | None | $25.12 | $33.11 | $309.03 |
United Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $40.74 | Professional | None | $24.55 | $27.54 | $40.74 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.40 | $2.40 | $2.40 |
Where Arizona sits
The same service costs 2.8 times more in Montana than in Kansas. 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· 49th of 51
$27.54
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.