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 $31.62 Median $67.61 Typical High $245.47 | Facility | None | $31.62 | $67.61 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $66.07 | Professional | None | $31.62 | $31.62 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $47.86 | Professional | None | $23.99 | $31.62 | $47.86 |
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 $39.81 Typical High $57.54 | Professional | None | $25.12 | $39.81 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $93.33 Typical High $131.83 | Facility | None | $33.88 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | None | $33.11 | $42.66 | $72.44 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $257.04 | Facility | None | $35.48 | $64.57 | $257.04 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $38.02 | Professional | None | $19.95 | $28.18 | $38.02 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $66.07 | Professional | None | $19.95 | $28.18 | $66.07 |
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 $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 $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Where Arizona sits
The same service costs 6.6 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· 40th of 51
$39.81
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.