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 $14.13 Median $30.20 Typical High $109.65 | Facility | None | $14.13 | $30.20 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | None | $14.13 | $14.13 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | None | $13.18 | $13.18 | $13.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.02 Median $53.70 Typical High $81.28 | Facility | None | $12.02 | $53.70 | $81.28 |
BCBS Arizona Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $25.12 | Professional | None | $11.22 | $17.78 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $41.69 Typical High $58.88 | Facility | None | $13.49 | $41.69 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.05 Typical High $32.36 | Professional | None | $10.47 | $19.05 | $32.36 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $100.00 | Facility | None | $14.13 | $20.89 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $14.13 | Professional | None | $8.91 | $9.12 | $14.13 |
United Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $21.38 | Professional | None | $8.91 | $9.12 | $21.38 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.82 |
Where Arizona sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 41st of 51
$16.60
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.