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 $977.24 Median $3,715.35 Typical High $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $154.88 | Professional | None | $61.66 | $91.20 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $158.49 Median $380.19 Typical High $977.24 | Facility | None | $158.49 | $380.19 | $977.24 |
BCBS Arizona Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $245.47 | Professional | None | $77.62 | $128.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $380.19 | Facility | None | $61.66 | $77.62 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $186.21 | Professional | None | $70.79 | $104.71 | $186.21 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $602.56 Typical High $2,570.40 | Facility | None | $100.00 | $602.56 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $575.44 Typical High $851.14 | Professional | None | $114.82 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $177.83 | Professional | None | $77.62 | $114.82 | $177.83 |
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 $30.90 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $30.90 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $12.30 | $18.20 | $18.20 |
Where Arizona sits
The same service costs 2.8 times more in Alaska 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· 25th of 51
$135
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.