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 $100.00 Median $416.87 Typical High $676.08 | Facility | None | $100.00 | $416.87 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $72.44 Median $331.13 Typical High $501.19 | Facility | None | $72.44 | $331.13 | $501.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $154.88 | Professional | None | $67.61 | $109.65 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $251.19 Typical High $363.08 | Facility | None | $67.61 | $251.19 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $117.49 Typical High $194.98 | Professional | None | $47.86 | $117.49 | $194.98 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $616.60 | Facility | None | $87.10 | $117.49 | $616.60 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $77.62 | Professional | None | $44.67 | $53.70 | $77.62 |
United Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $107.15 | Professional | None | $44.67 | $53.70 | $107.15 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
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· 31st of 51
$100
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.