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 $10.96 Median $45.71 Typical High $72.44 | Facility | None | $10.96 | $45.71 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.94 Median $36.31 Typical High $54.95 | Facility | None | $7.94 | $36.31 | $54.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.41 Median $11.75 Typical High $16.98 | Professional | None | $7.41 | $11.75 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $27.54 Typical High $38.90 | Facility | None | $5.25 | $27.54 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $12.59 Typical High $21.88 | Professional | None | $3.98 | $12.59 | $21.88 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $12.02 Typical High $100.00 | Facility | None | $7.59 | $12.02 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $8.51 | Professional | None | $3.47 | $5.89 | $8.51 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $8.51 | Professional | None | $3.47 | $5.89 | $8.51 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Where Arizona sits
The same service costs 4.9 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
$9.33
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.