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 $5.75 Median $10.23 Typical High $44.67 | Facility | None | $5.75 | $10.23 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $6.31 Typical High $16.98 | Professional | None | $3.89 | $6.31 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $5.62 Typical High $12.59 | Professional | None | $4.27 | $5.62 | $12.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.90 Median $21.88 Typical High $33.11 | Facility | None | $4.90 | $21.88 | $33.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.57 Median $7.24 Typical High $10.23 | Professional | None | $4.57 | $7.24 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $16.98 Typical High $23.99 | Facility | None | $5.50 | $16.98 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $7.41 Typical High $12.30 | Professional | None | $4.37 | $7.41 | $12.30 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $15.14 Typical High $83.18 | Facility | None | $6.31 | $15.14 | $83.18 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $8.71 | Professional | None | $5.13 | $5.13 | $8.71 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $8.71 | Professional | None | $5.13 | $5.25 | $8.71 |
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 $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.15 |
Where Arizona sits
The same service costs 15.8 times more in Minnesota 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· 39th of 51
$7.41
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.