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 $61.66 Median $257.04 Typical High $416.87 | Facility | None | $61.66 | $257.04 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $45.71 Median $204.17 Typical High $309.03 | Facility | None | $45.71 | $204.17 | $309.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $95.50 | Professional | None | $42.66 | $67.61 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $158.49 Typical High $223.87 | Facility | None | $56.23 | $158.49 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $123.03 | Professional | None | $52.48 | $72.44 | $123.03 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $380.19 | Facility | None | $53.70 | $81.28 | $380.19 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $48.98 | Professional | None | $33.88 | $46.77 | $48.98 |
United Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $109.65 | Professional | None | $33.88 | $46.77 | $109.65 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Arizona sits
The same service costs 4.6 times more in Kansas 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
$64.57
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.