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 $8.13 Median $8.13 Typical High $10.72 | Professional | None | $8.13 | $8.13 | $10.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $23.44 Median $107.15 Typical High $162.18 | Facility | None | $23.44 | $107.15 | $162.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $141.25 | Professional | None | $69.18 | $77.62 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | None | $20.42 | $20.42 | $28.18 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $41.69 Typical High $114.82 | Facility | None | $9.12 | $41.69 | $114.82 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $154.88 | Professional | None | $13.18 | $15.85 | $154.88 |
United Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $26.30 | Professional | None | $12.88 | $14.13 | $26.30 |
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 $4.07 Median $4.07 Typical High $5.01 | Professional | 52 · Reduced service | $4.07 | $4.07 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.04 | Professional | 53 · Discontinued | $1.62 | $1.62 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $1.51 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $1.00 |
Where Arizona sits
The same service costs 8.7 times more in Hawaii than in Kansas. 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· 31st of 51
$20.42
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.