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 $19.50 Median $38.90 Typical High $131.83 | Facility | None | $19.50 | $38.90 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.44 | Professional | None | $16.98 | $16.98 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.13 Median $64.57 Typical High $97.72 | Facility | None | $14.13 | $64.57 | $97.72 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.18 Median $21.38 Typical High $30.20 | Professional | None | $13.18 | $21.38 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $48.98 Typical High $70.79 | Facility | None | $18.20 | $48.98 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $38.90 | Professional | None | $16.98 | $22.39 | $38.90 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $120.23 | Facility | None | $18.62 | $25.12 | $120.23 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $21.88 | Professional | None | $10.72 | $14.79 | $21.88 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $34.67 | Professional | None | $10.72 | $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 $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Where Arizona sits
The same service costs 3.7 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
$21.38
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.