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 $20.89 Median $87.10 Typical High $141.25 | Facility | None | $20.89 | $87.10 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | None | $16.22 | $18.20 | $18.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.14 Median $69.18 Typical High $104.71 | Facility | None | $15.14 | $69.18 | $104.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $32.36 | Professional | None | $14.13 | $22.91 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $53.70 Typical High $75.86 | Facility | None | $17.78 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $23.44 Typical High $41.69 | Professional | None | $12.88 | $23.44 | $41.69 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $25.70 Typical High $128.82 | Facility | None | $16.98 | $25.70 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.22 | Professional | None | $11.48 | $11.48 | $16.22 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $21.88 | Professional | None | $11.48 | $11.48 | $21.88 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Where Arizona sits
The same service costs 4.0 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· 39th of 51
$20.42
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.