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 $56.23 Median $234.42 Typical High $371.54 | Facility | None | $56.23 | $234.42 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | None | $47.86 | $47.86 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | None | $44.67 | $44.67 | $46.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $40.74 Median $186.21 Typical High $281.84 | Facility | None | $40.74 | $186.21 | $281.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $38.02 Median $60.26 Typical High $87.10 | Professional | None | $38.02 | $60.26 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $141.25 Typical High $199.53 | Facility | None | $50.12 | $141.25 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $109.65 | Professional | None | $33.11 | $61.66 | $109.65 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $346.74 | Facility | None | $47.86 | $69.18 | $346.74 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | None | $30.20 | $30.20 | $57.54 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $72.44 | Professional | None | $30.20 | $30.20 | $72.44 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 40th of 51
$57.54
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.