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 $42.66 Median $177.83 Typical High $288.40 | Facility | None | $42.66 | $177.83 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | None | $37.15 | $37.15 | $66.07 |
BCBS Arizona Setting Facility Modifier None Typical Low $31.62 Median $141.25 Typical High $218.78 | Facility | None | $31.62 | $141.25 | $218.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $67.61 | Professional | None | $29.51 | $46.77 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $109.65 Typical High $154.88 | Facility | None | $39.81 | $109.65 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $85.11 | Professional | None | $27.54 | $50.12 | $85.11 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $56.23 Typical High $263.03 | Facility | None | $37.15 | $56.23 | $263.03 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $44.67 | Professional | None | $23.44 | $32.36 | $44.67 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $56.23 | Professional | None | $23.44 | $33.11 | $56.23 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Arizona sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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· 37th of 51
$46.77
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.