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 $3.31 Median $7.08 Typical High $25.70 | Facility | None | $3.31 | $7.08 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $6.61 | Professional | None | $3.31 | $3.31 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $3.31 Typical High $3.47 | Professional | None | $1.51 | $3.31 | $3.47 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.82 Median $12.59 Typical High $19.05 | Facility | None | $2.82 | $12.59 | $19.05 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.63 Median $4.17 Typical High $5.89 | Professional | None | $2.63 | $4.17 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $9.77 Typical High $13.80 | Facility | None | $3.63 | $9.77 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.37 Typical High $7.76 | Professional | None | $3.31 | $4.37 | $7.76 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $5.75 Typical High $100.00 | Facility | None | $3.63 | $5.75 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $4.07 | Professional | None | $2.09 | $2.88 | $4.07 |
United Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $10.47 | Facility | None | $1.38 | $1.38 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $4.90 | Professional | None | $2.09 | $2.88 | $4.90 |
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 $1.66 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.66 | $0.66 | $0.66 |
Where Arizona sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 44th of 51
$4.17
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.