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 $66.07 Median $66.07 Typical High $107.15 | Professional | None | $66.07 | $66.07 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | 52 · Reduced service | $33.11 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $21.38 | Professional | 53 · Discontinued | $13.18 | $13.18 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $16.22 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $10.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $154.88 Typical High $234.42 | Facility | None | $36.31 | $154.88 | $234.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $295.12 | Facility | None | $66.07 | $91.20 | $295.12 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $794.33 | Professional | None | $57.54 | $89.13 | $794.33 |
United Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $89.13 | Professional | None | $57.54 | $63.10 | $89.13 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Arizona sits
The same service costs 2.5 times more in Minnesota than in Utah. 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· 45th of 51
$66.07
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.