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 $17.78 Median $32.36 Typical High $120.23 | Facility | None | $17.78 | $32.36 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | None | $13.80 | $15.49 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | None | $14.45 | $14.45 | $14.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.77 Median $43.65 Typical High $66.07 | Facility | None | $9.77 | $43.65 | $66.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $27.54 | Professional | None | $12.02 | $19.50 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $44.67 Typical High $64.57 | Facility | None | $15.14 | $44.67 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $28.18 Typical High $35.48 | Professional | None | $11.22 | $28.18 | $35.48 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $109.65 | Facility | None | $14.13 | $21.88 | $109.65 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $16.98 | Professional | None | $9.55 | $9.55 | $16.98 |
United Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $20.89 | Professional | None | $9.55 | $9.55 | $20.89 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Where Arizona sits
The same service costs 9.8 times more in Vermont 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· 48th 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.