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 $32.36 Median $74.13 Typical High $245.47 | Facility | None | $32.36 | $74.13 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $63.10 | Professional | None | $32.36 | $32.36 | $63.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $26.92 Median $123.03 Typical High $186.21 | Facility | None | $26.92 | $123.03 | $186.21 |
BCBS Arizona Setting Professional Modifier None Typical Low $25.12 Median $40.74 Typical High $57.54 | Professional | None | $25.12 | $40.74 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $93.33 Typical High $134.90 | Facility | None | $33.11 | $93.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $72.44 | Professional | None | $28.84 | $42.66 | $72.44 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $229.09 | Facility | None | $34.67 | $47.86 | $229.09 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $36.31 | Professional | None | $19.95 | $25.70 | $36.31 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $42.66 | Professional | None | $19.95 | $25.70 | $42.66 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 33 · Preventive service | $30.90 | $30.90 | $30.90 |
Where Arizona sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 41st of 51
$38.02
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.