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 $45.71 Typical High $74.13 | Facility | None | $10.96 | $45.71 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.94 Median $36.31 Typical High $54.95 | Facility | None | $7.94 | $36.31 | $54.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $16.98 | Professional | None | $7.41 | $12.02 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $27.54 Typical High $39.81 | Facility | None | $7.41 | $27.54 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $12.88 Typical High $21.88 | Professional | None | $5.75 | $12.88 | $21.88 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $12.59 Typical High $100.00 | Facility | None | $9.55 | $12.59 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $8.51 | Professional | None | $4.90 | $5.89 | $8.51 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $11.75 | Professional | None | $4.90 | $5.89 | $11.75 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 33rd of 51
$10.96
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.