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 $45.71 Median $45.71 Typical High $56.23 | Professional | None | $45.71 | $45.71 | $56.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $38.90 Median $177.83 Typical High $269.15 | Facility | None | $38.90 | $177.83 | $269.15 |
BCBS Arizona Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $234.42 | Professional | None | $114.82 | $131.83 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | None | $41.69 | $41.69 | $56.23 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $234.42 Typical High $645.65 | Facility | None | $50.12 | $234.42 | $645.65 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $851.14 | Professional | None | $74.13 | $87.10 | $851.14 |
United Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $144.54 | Professional | None | $72.44 | $77.62 | $144.54 |
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 $22.91 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | 53 · Discontinued | $9.12 | $9.12 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.76 Typical High $8.51 | Professional | 55 · Aftercare only | $6.76 | $6.76 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $5.62 |
Where Arizona sits
The same service costs 4.9 times more in North Dakota than in Delaware. 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· 34th of 51
$77.62
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.