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 $67.61 Median $123.03 Typical High $123.03 | Professional | None | $67.61 | $123.03 | $123.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $29.51 Median $70.79 Typical High $186.21 | Facility | None | $29.51 | $70.79 | $186.21 |
BCBS Arizona Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $204.17 | Professional | None | $102.33 | $102.33 | $204.17 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $741.31 Typical High $4,168.69 | Facility | None | $100.00 | $741.31 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $549.54 | Professional | None | $53.70 | $70.79 | $549.54 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $104.71 | Professional | None | $53.70 | $60.26 | $104.71 |
2 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 $33.88 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $33.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $13.49 | $24.55 | $24.55 |
Where Arizona sits
The same service costs 11.2 times more in Texas than in Arkansas. 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· 17th of 51
$112
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.