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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.49 Median $70.79 Typical High $107.15 | Facility | None | $15.49 | $70.79 | $107.15 |
BCBS Arizona Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $93.33 | Professional | None | $44.67 | $51.29 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $58.88 Typical High $275.42 | Facility | None | $20.89 | $58.88 | $275.42 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $302.00 | Professional | None | $24.55 | $32.36 | $302.00 |
United Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $39.81 | Professional | None | $23.99 | $26.92 | $39.81 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $2.34 |
Where Arizona sits
The same service costs 2.6 times more in Montana 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· 49th of 51
$26.92
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.