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 $4.68 Median $19.50 Typical High $31.62 | Facility | None | $4.68 | $19.50 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $7.08 | Professional | None | $4.07 | $4.07 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.39 Median $15.49 Typical High $23.44 | Facility | None | $3.39 | $15.49 | $23.44 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $7.24 | Professional | None | $3.16 | $5.13 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $11.75 Typical High $16.98 | Facility | None | $4.37 | $11.75 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $5.37 Typical High $9.33 | Professional | None | $3.98 | $5.37 | $9.33 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $6.03 Typical High $100.00 | Facility | None | $4.47 | $6.03 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $4.90 | Professional | None | $2.51 | $3.55 | $4.90 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $6.03 | Professional | None | $2.51 | $3.55 | $6.03 |
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 $2.04 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.81 |
Where Arizona sits
The same service costs 4.3 times more in Alaska 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· 40th of 51
$5.13
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.