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 $10.72 Median $10.72 Typical High $13.18 | Professional | None | $10.72 | $10.72 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.59 Median $56.23 Typical High $85.11 | Facility | None | $12.59 | $56.23 | $85.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $75.86 | Professional | None | $36.31 | $41.69 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $54.95 Typical High $151.36 | Facility | None | $11.75 | $54.95 | $151.36 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $199.53 | Professional | None | $17.38 | $20.42 | $199.53 |
United Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $34.67 | Professional | None | $16.98 | $18.62 | $34.67 |
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 $5.37 Median $5.37 Typical High $6.61 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.63 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $2.00 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.32 |
Where Arizona sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 45th of 51
$20.89
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.