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 $9.77 Median $17.38 Typical High $75.86 | Facility | None | $9.77 | $17.38 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $16.98 | Professional | None | $9.77 | $9.77 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | None | $10.00 | $10.00 | $10.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.13 Median $37.15 Typical High $56.23 | Facility | None | $8.13 | $37.15 | $56.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $17.38 | Professional | None | $7.59 | $12.30 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $28.84 Typical High $40.74 | Facility | None | $10.47 | $28.84 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $22.39 | Professional | None | $9.77 | $13.18 | $22.39 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $100.00 | Facility | None | $10.72 | $15.85 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $12.59 | Professional | None | $6.17 | $8.51 | $12.59 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $19.95 | Professional | None | $6.17 | $8.51 | $19.95 |
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 $4.90 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
Where Arizona sits
The same service costs 10.2 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· 40th of 51
$12.30
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.