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 $15.85 Median $66.07 Typical High $107.15 | Facility | None | $15.85 | $66.07 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.75 Median $52.48 Typical High $79.43 | Facility | None | $11.75 | $52.48 | $79.43 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $24.55 | Professional | None | $10.96 | $17.38 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $40.74 Typical High $57.54 | Facility | None | $14.79 | $40.74 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $31.62 | Professional | None | $13.80 | $18.62 | $31.62 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $100.00 | Facility | None | $13.80 | $22.39 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $12.59 | Professional | None | $8.71 | $12.02 | $12.59 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $28.18 | Professional | None | $8.71 | $12.02 | $28.18 |
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 $6.92 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.75 |
Where Arizona sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$17.38
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.