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 $12.88 Median $53.70 Typical High $87.10 | Facility | None | $12.88 | $53.70 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | None | $11.22 | $11.22 | $15.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.55 Median $42.66 Typical High $66.07 | Facility | None | $9.55 | $42.66 | $66.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $20.42 | Professional | None | $8.91 | $14.13 | $20.42 |
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 $15.14 Typical High $25.70 | Professional | None | $11.22 | $15.14 | $25.70 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $16.98 Typical High $93.33 | Facility | None | $12.30 | $16.98 | $93.33 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $15.49 | Professional | None | $7.08 | $10.00 | $15.49 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $23.44 | Professional | None | $7.08 | $10.00 | $23.44 |
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 18.6 times more in Kansas 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· 39th 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.