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 $1.66 Median $3.39 Typical High $11.22 | Facility | None | $1.66 | $3.39 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $2.00 Typical High $4.27 | Professional | None | $1.45 | $2.00 | $4.27 |
Ambetter Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.23 Median $5.50 Typical High $8.32 | Facility | None | $1.23 | $5.50 | $8.32 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.15 Median $1.82 Typical High $2.63 | Professional | None | $1.15 | $1.82 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $4.27 Typical High $6.03 | Facility | None | $1.55 | $4.27 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $1.86 Typical High $3.09 | Professional | None | $1.51 | $1.86 | $3.09 |
Medica Setting Facility Modifier None Typical Low $1.58 Median $2.19 Typical High $100.00 | Facility | None | $1.58 | $2.19 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $1.78 Typical High $2.19 | Professional | None | $1.29 | $1.78 | $2.19 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.82 Typical High $2.95 | Professional | None | $1.29 | $1.82 | $2.95 |
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 $0.72 Median $0.72 Typical High $0.72 | Professional | 52 · Reduced service | $0.72 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Where Arizona sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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· 38th of 51
$2.09
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.