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 $20.42 Median $38.02 Typical High $138.04 | Facility | None | $20.42 | $38.02 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | None | $17.78 | $17.78 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.14 Median $69.18 Typical High $104.71 | Facility | None | $15.14 | $69.18 | $104.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $32.36 | Professional | None | $14.13 | $22.39 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $52.48 Typical High $74.13 | Facility | None | $19.50 | $52.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $40.74 | Professional | None | $17.78 | $23.99 | $40.74 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $26.92 Typical High $128.82 | Facility | None | $19.95 | $26.92 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $21.38 | Professional | None | $11.22 | $15.85 | $21.38 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $29.51 | Professional | None | $11.22 | $15.85 | $29.51 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Where Arizona sits
The same service costs 3.5 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· 40th of 51
$22.39
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.