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 $4.79 Median $19.95 Typical High $32.36 | Facility | None | $4.79 | $19.95 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $6.61 | Professional | None | $4.17 | $4.17 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.55 Median $15.85 Typical High $23.99 | Facility | None | $3.55 | $15.85 | $23.99 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.31 Median $5.25 Typical High $7.41 | Professional | None | $3.31 | $5.25 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $12.30 Typical High $17.38 | Facility | None | $3.98 | $12.30 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $5.50 Typical High $8.71 | Professional | None | $3.02 | $5.50 | $8.71 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $6.17 Typical High $70.79 | Facility | None | $4.17 | $6.17 | $70.79 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $6.17 | Professional | None | $3.72 | $3.72 | $6.17 |
United Setting Professional Modifier None Typical Low $3.72 Median $3.80 Typical High $6.31 | Professional | None | $3.72 | $3.80 | $6.31 |
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 $2.09 Median $2.09 Typical High $2.09 | Professional | 52 · Reduced service | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 53 · Discontinued | $0.83 | $0.83 | $0.83 |
Where Arizona sits
The same service costs 3.5 times more in Alaska 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
$5.25
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.