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 $10.00 Median $10.00 Typical High $12.59 | Professional | None | $10.00 | $10.00 | $12.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.23 Median $46.77 Typical High $70.79 | Facility | None | $10.23 | $46.77 | $70.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $63.10 | Professional | None | $30.20 | $34.67 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $51.29 Typical High $141.25 | Facility | None | $11.22 | $51.29 | $141.25 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $186.21 | Professional | None | $16.22 | $19.05 | $186.21 |
United Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $32.36 | Professional | None | $15.85 | $17.38 | $32.36 |
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 $5.01 Median $5.01 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.01 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.86 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.26 |
Where Arizona sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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· 40th of 51
$19.95
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.