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 $30.90 Median $30.90 Typical High $39.81 | Professional | None | $30.90 | $30.90 | $39.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.11 Median $147.91 Typical High $223.87 | Facility | None | $33.11 | $147.91 | $223.87 |
BCBS Arizona Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $199.53 | Professional | None | $95.50 | $109.65 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $158.49 Typical High $436.52 | Facility | None | $33.88 | $158.49 | $436.52 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $575.44 | Professional | None | $50.12 | $70.79 | $575.44 |
United Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $97.72 | Professional | None | $48.98 | $52.48 | $97.72 |
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 $15.49 Median $15.49 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $15.49 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.80 |
Where Arizona sits
The same service costs 49.0 times more in North Dakota than in Hawaii. 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· 32nd of 51
$52.48
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.