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 $138.04 Median $575.44 Typical High $912.01 | Facility | None | $138.04 | $575.44 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $100.00 Median $457.09 Typical High $691.83 | Facility | None | $100.00 | $457.09 | $691.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $213.80 | Professional | None | $93.33 | $147.91 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $346.74 Typical High $501.19 | Facility | None | $147.91 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $269.15 | Professional | None | $83.18 | $151.36 | $269.15 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $851.14 | Facility | None | $109.65 | $169.82 | $851.14 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | None | $74.13 | $74.13 | $109.65 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $141.25 | Professional | None | $74.13 | $74.13 | $141.25 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in Oklahoma. 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· 32nd of 51
$141
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.