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 $138.04 Median $141.25 Typical High $234.42 | Professional | None | $138.04 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $117.49 | Professional | 52 · Reduced service | $69.18 | $70.79 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $46.77 | Professional | 53 · Discontinued | $27.54 | $28.18 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.38 Typical High $34.67 | Professional | 55 · Aftercare only | $20.42 | $21.38 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.13 Typical High $23.44 | Professional | 56 · Pre-op care only | $13.80 | $14.13 | $23.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $75.86 Median $323.59 Typical High $489.78 | Facility | None | $75.86 | $323.59 | $489.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | None | $199.53 | $199.53 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $724.44 | Facility | None | $141.25 | $194.98 | $724.44 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $1,698.24 | Professional | None | $123.03 | $190.55 | $1,698.24 |
United Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $190.55 | Professional | None | $120.23 | $134.90 | $190.55 |
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 3.2 times more in Minnesota than in New York. 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
$141
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.