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 $22.39 Median $93.33 Typical High $151.36 | Facility | None | $22.39 | $93.33 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.60 Median $74.13 Typical High $112.20 | Facility | None | $16.60 | $74.13 | $112.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $34.67 | Professional | None | $15.14 | $24.55 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $57.54 Typical High $81.28 | Facility | None | $20.42 | $57.54 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $44.67 | Professional | None | $16.98 | $26.30 | $44.67 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $138.04 | Facility | None | $19.50 | $28.84 | $138.04 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $17.38 | Professional | None | $12.30 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $34.67 | Professional | None | $12.30 | $14.79 | $34.67 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Where Arizona sits
The same service costs 3.5 times more in Alaska 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· 38th of 51
$23.44
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.