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 $11.22 Median $23.99 Typical High $87.10 | Facility | None | $11.22 | $23.99 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $23.44 | Professional | None | $11.22 | $11.22 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | None | $10.96 | $11.75 | $11.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.55 Median $42.66 Typical High $64.57 | Facility | None | $9.55 | $42.66 | $64.57 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $19.95 | Professional | None | $8.91 | $14.13 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $33.11 Typical High $46.77 | Facility | None | $12.02 | $33.11 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $19.50 | Professional | None | $11.22 | $14.13 | $19.50 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $79.43 | Facility | None | $12.30 | $16.60 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $13.49 | Professional | None | $7.08 | $9.77 | $13.49 |
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 $7.08 Median $9.77 Typical High $16.98 | Professional | None | $7.08 | $9.77 | $16.98 |
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 $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Where Arizona sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 43rd of 51
$14.13
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.