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 $19.50 Typical High $83.18 | Facility | None | $10.96 | $19.50 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $22.91 | Professional | None | $10.96 | $10.96 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $11.22 | Professional | None | $9.77 | $10.72 | $11.22 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.12 Median $41.69 Typical High $63.10 | Facility | None | $9.12 | $41.69 | $63.10 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $19.50 | Professional | None | $8.51 | $13.80 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $31.62 Typical High $45.71 | Facility | None | $11.75 | $31.62 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $24.55 | Professional | None | $10.96 | $14.13 | $24.55 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $17.78 Typical High $100.00 | Facility | None | $12.02 | $17.78 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $16.98 | Professional | None | $6.92 | $9.55 | $16.98 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $22.39 | Professional | None | $6.92 | $9.55 | $22.39 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.19 |
Where Arizona sits
The same service costs 8.5 times more in Vermont 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· 45th of 51
$13.80
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.