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 $102.33 Median $524.81 Typical High $933.25 | Facility | None | $102.33 | $524.81 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $93.33 Typical High $125.89 | Professional | None | $53.70 | $93.33 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | None | $66.07 | $75.86 | $75.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $338.84 Typical High $512.86 | Facility | None | $79.43 | $338.84 | $512.86 |
BCBS Arizona Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $218.78 | Professional | None | $93.33 | $104.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $776.25 | Facility | None | $204.17 | $354.81 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $144.54 | Professional | None | $70.79 | $81.28 | $144.54 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $426.58 | Facility | None | $93.33 | $102.33 | $426.58 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $181.97 Typical High $707.95 | Professional | None | $77.62 | $181.97 | $707.95 |
United Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $173.78 | Professional | None | $64.57 | $102.33 | $173.78 |
4 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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 59 · Distinct service | $97.72 | $97.72 | $97.72 |
Where Arizona sits
The same service costs 4.5 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· 35th of 51
$105
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.