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 $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.98 Median $75.86 Typical High $114.82 | Facility | None | $16.98 | $75.86 | $114.82 |
BCBS Arizona Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $102.33 | Professional | None | $48.98 | $56.23 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $57.54 Typical High $158.49 | Facility | None | $12.59 | $57.54 | $158.49 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $213.80 | Professional | None | $18.20 | $21.88 | $213.80 |
United Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $36.31 | Professional | None | $17.78 | $19.50 | $36.31 |
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 $5.62 Median $5.62 Typical High $7.08 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.70 Typical High $2.09 | Professional | 55 · Aftercare only | $1.70 | $1.70 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.41 |
Where Arizona sits
The same service costs 8.9 times more in North Dakota 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· 26th 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.