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 $125.89 Median $524.81 Typical High $831.76 | Facility | None | $125.89 | $524.81 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $91.20 Median $416.87 Typical High $630.96 | Facility | None | $91.20 | $416.87 | $630.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $194.98 | Professional | None | $85.11 | $134.90 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $316.23 Typical High $457.09 | Facility | None | $61.66 | $316.23 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $144.54 Typical High $245.47 | Professional | None | $45.71 | $144.54 | $245.47 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $776.25 | Facility | None | $104.71 | $144.54 | $776.25 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $97.72 | Professional | None | $41.69 | $67.61 | $97.72 |
United Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $100.00 | Professional | None | $41.69 | $67.61 | $100.00 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Where Arizona sits
The same service costs 7.6 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· 36th of 51
$110
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.