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 $162.18 Median $676.08 Typical High $1,096.48 | Facility | None | $162.18 | $676.08 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $812.83 | Facility | None | $117.49 | $537.03 | $812.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $251.19 | Professional | None | $109.65 | $177.83 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $407.38 Typical High $588.84 | Facility | None | $114.82 | $407.38 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $190.55 Typical High $316.23 | Professional | None | $81.28 | $190.55 | $316.23 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $1,000.00 | Facility | None | $141.25 | $194.98 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $125.89 | Professional | None | $75.86 | $87.10 | $125.89 |
United Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $181.97 | Professional | None | $75.86 | $87.10 | $181.97 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Where Arizona sits
The same service costs 6.0 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· 34th of 51
$162
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.