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 $79.43 Median $331.13 Typical High $537.03 | Facility | None | $79.43 | $331.13 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $263.03 Typical High $398.11 | Facility | None | $57.54 | $263.03 | $398.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $123.03 | Professional | None | $53.70 | $87.10 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $288.40 | Facility | None | $74.13 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $158.49 | Professional | None | $61.66 | $93.33 | $158.49 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $489.78 | Facility | None | $69.18 | $112.20 | $489.78 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $63.10 | Professional | None | $43.65 | $58.88 | $63.10 |
United Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $91.20 | Professional | None | $43.65 | $58.88 | $91.20 |
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 $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Where Arizona sits
The same service costs 5.1 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· 36th of 51
$85.11
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.