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 $6.03 Median $25.12 Typical High $40.74 | Facility | None | $6.03 | $25.12 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.76 | Professional | None | $5.25 | $5.25 | $6.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.47 Median $19.95 Typical High $30.20 | Facility | None | $4.47 | $19.95 | $30.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.17 Median $6.61 Typical High $9.33 | Professional | None | $4.17 | $6.61 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $15.49 Typical High $21.88 | Facility | None | $5.62 | $15.49 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $7.24 Typical High $11.75 | Professional | None | $5.37 | $7.24 | $11.75 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $7.94 Typical High $100.00 | Facility | None | $5.75 | $7.94 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.31 Median $4.57 Typical High $6.31 | Professional | None | $3.31 | $4.57 | $6.31 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.57 Typical High $10.72 | Professional | None | $3.31 | $4.57 | $10.72 |
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 $2.63 Median $2.63 Typical High $2.63 | Professional | 52 · Reduced service | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 53 · Discontinued | $1.05 | $1.05 | $1.05 |
Where Arizona sits
The same service costs 4.1 times more in Kansas than in Maryland. 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· 39th of 51
$6.61
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.