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 $38.90 Median $162.18 Typical High $263.03 | Facility | None | $38.90 | $162.18 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | None | $33.88 | $33.88 | $37.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $28.18 Median $128.82 Typical High $194.98 | Facility | None | $28.18 | $128.82 | $194.98 |
BCBS Arizona Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $60.26 | Professional | None | $26.30 | $42.66 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $97.72 Typical High $141.25 | Facility | None | $36.31 | $97.72 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $77.62 | Professional | None | $34.67 | $45.71 | $77.62 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $239.88 | Facility | None | $33.88 | $54.95 | $239.88 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $30.90 | Professional | None | $21.38 | $28.84 | $30.90 |
United Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $69.18 | Professional | None | $21.38 | $29.51 | $69.18 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.76 |
Where Arizona sits
The same service costs 3.8 times more in Kansas than in Texas. 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
$42.66
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.