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 Facility Modifier None Typical Low $23.99 Median $46.77 Typical High $165.96 | Facility | None | $23.99 | $46.77 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $72.44 Typical High $93.33 | Professional | None | $23.99 | $72.44 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | None | $61.66 | $69.18 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $134.90 Typical High $354.81 | Facility | None | $57.54 | $134.90 | $354.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $28.18 Median $81.28 Typical High $125.89 | Professional | None | $28.18 | $81.28 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $138.04 | Facility | None | $60.26 | $72.44 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $66.07 Typical High $104.71 | Professional | None | $25.70 | $66.07 | $104.71 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $309.03 Typical High $1,862.09 | Facility | None | $79.43 | $309.03 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $323.59 Typical High $660.69 | Professional | None | $74.13 | $323.59 | $660.69 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $19.50 Median $54.95 Typical High $100.00 | Professional | None | $19.50 | $54.95 | $100.00 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $104.71 Typical High $123.03 | Professional | 50 · Both sides | $91.20 | $104.71 | $123.03 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | GP · Physical therapy plan | $57.54 | $57.54 | $57.54 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 26th of 51
$79.43
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.