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 $22.39 Median $93.33 Typical High $147.91 | Facility | None | $22.39 | $93.33 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | None | $19.50 | $19.50 | $24.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.22 Median $74.13 Typical High $112.20 | Facility | None | $16.22 | $74.13 | $112.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $34.67 | Professional | None | $15.14 | $24.55 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $81.28 | Facility | None | $20.89 | $56.23 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $43.65 | Professional | None | $19.50 | $26.30 | $43.65 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $28.84 Typical High $177.83 | Facility | None | $21.38 | $28.84 | $177.83 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $22.91 | Professional | None | $12.02 | $16.98 | $22.91 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $39.81 | Professional | None | $12.02 | $16.98 | $39.81 |
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 $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Where Arizona sits
The same service costs 5.5 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· 35th of 51
$24.55
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.