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 $7.41 Median $30.90 Typical High $48.98 | Facility | None | $7.41 | $30.90 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.37 Median $24.55 Typical High $37.15 | Facility | None | $5.37 | $24.55 | $37.15 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $11.48 | Professional | None | $5.01 | $8.13 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $18.62 Typical High $26.92 | Facility | None | $6.61 | $18.62 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $14.45 | Professional | None | $5.50 | $8.51 | $14.45 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $10.23 Typical High $204.17 | Facility | None | $6.76 | $10.23 | $204.17 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $5.75 | Professional | None | $3.98 | $4.79 | $5.75 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $11.22 | Professional | None | $3.98 | $4.79 | $11.22 |
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 $3.24 Median $3.24 Typical High $3.24 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.29 |
Where Arizona sits
The same service costs 3.3 times more in Kansas than in Nebraska. 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· 35th of 51
$7.76
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.