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 $19.05 Median $19.05 Typical High $23.44 | Professional | None | $19.05 | $19.05 | $23.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.50 Median $87.10 Typical High $131.83 | Facility | None | $19.50 | $87.10 | $131.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $117.49 | Professional | None | $56.23 | $64.57 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | None | $36.31 | $36.31 | $50.12 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $97.72 Typical High $269.15 | Facility | None | $20.89 | $97.72 | $269.15 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $354.81 | Professional | None | $30.90 | $37.15 | $354.81 |
United Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $61.66 | Professional | None | $30.20 | $33.11 | $61.66 |
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 $9.55 Median $9.55 Typical High $11.75 | Professional | 52 · Reduced service | $9.55 | $9.55 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.68 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $3.55 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.34 |
Where Arizona sits
The same service costs 4.1 times more in Kansas 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· 36th of 51
$36.31
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.