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 $41.69 Median $173.78 Typical High $281.84 | Facility | None | $41.69 | $173.78 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | None | $36.31 | $36.31 | $45.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $30.90 Median $138.04 Typical High $208.93 | Facility | None | $30.90 | $138.04 | $208.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $28.84 Median $45.71 Typical High $64.57 | Professional | None | $28.84 | $45.71 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $151.36 | Facility | None | $34.67 | $107.15 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $77.62 | Professional | None | $24.55 | $53.70 | $77.62 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $257.04 | Facility | None | $36.31 | $53.70 | $257.04 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $53.70 | Professional | None | $22.91 | $22.91 | $53.70 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $43.65 | Professional | None | $22.91 | $22.91 | $43.65 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Where Arizona sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 34th of 51
$43.65
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.