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 $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | None | $19.05 | $22.39 | $22.39 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $81.28 Typical High $120.23 | Facility | None | $18.62 | $81.28 | $120.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $42.66 | Professional | None | $21.88 | $21.88 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $51.29 | Facility | None | $19.95 | $22.39 | $51.29 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $147.91 Typical High $147.91 | Professional | None | $16.22 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $40.74 | Professional | None | $14.79 | $22.91 | $40.74 |
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 $10.00 Median $10.00 Typical High $11.75 | Professional | 52 · Reduced service | $10.00 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.68 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.55 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $2.34 |
Where Arizona sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 36th of 51
$23.99
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.