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 $3.39 Median $5.89 Typical High $25.70 | Facility | None | $3.39 | $5.89 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.07 Typical High $7.08 | Professional | None | $3.39 | $4.07 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $5.01 | Professional | None | $3.02 | $3.47 | $5.01 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.82 Median $12.88 Typical High $19.50 | Facility | None | $2.82 | $12.88 | $19.50 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.63 Median $4.27 Typical High $6.03 | Professional | None | $2.63 | $4.27 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $9.77 Typical High $14.13 | Facility | None | $3.63 | $9.77 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.37 Typical High $7.76 | Professional | None | $3.31 | $4.37 | $7.76 |
Medica Setting Facility Modifier None Typical Low $3.72 Median $7.41 Typical High $60.26 | Facility | None | $3.72 | $7.41 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $4.47 | Professional | None | $2.09 | $2.95 | $4.47 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $6.92 | Professional | None | $2.09 | $2.95 | $6.92 |
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 $1.70 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Where Arizona sits
The same service costs 8.9 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
$4.37
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.