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 $51.29 Median $213.80 Typical High $346.74 | Facility | None | $51.29 | $213.80 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $38.02 Median $173.78 Typical High $263.03 | Facility | None | $38.02 | $173.78 | $263.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $81.28 | Professional | None | $35.48 | $56.23 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $131.83 Typical High $186.21 | Facility | None | $47.86 | $131.83 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $102.33 | Professional | None | $36.31 | $60.26 | $102.33 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $316.23 | Facility | None | $44.67 | $72.44 | $316.23 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $41.69 | Professional | None | $28.18 | $38.90 | $41.69 |
United Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $93.33 | Professional | None | $28.18 | $39.81 | $93.33 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Where Arizona sits
The same service costs 3.3 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· 37th of 51
$56.23
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.