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 $19.95 Median $83.18 Typical High $134.90 | Facility | None | $19.95 | $83.18 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.45 Median $66.07 Typical High $100.00 | Facility | None | $14.45 | $66.07 | $100.00 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $30.90 | Professional | None | $13.49 | $21.88 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $50.12 Typical High $72.44 | Facility | None | $18.62 | $50.12 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $38.90 | Professional | None | $17.38 | $23.44 | $38.90 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $128.82 | Facility | None | $19.05 | $25.70 | $128.82 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $15.85 | Professional | None | $10.96 | $14.79 | $15.85 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $35.48 | Professional | None | $10.96 | $15.14 | $35.48 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Where Arizona sits
The same service costs 4.0 times more in Kansas 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
$21.88
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.