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 $18.62 Median $77.62 Typical High $125.89 | Facility | None | $18.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $21.88 | Professional | None | $16.22 | $16.22 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $13.80 Median $61.66 Typical High $93.33 | Facility | None | $13.80 | $61.66 | $93.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $28.84 | Professional | None | $12.59 | $20.42 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $47.86 Typical High $67.61 | Facility | None | $17.38 | $47.86 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $28.18 | Professional | None | $15.14 | $19.05 | $28.18 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $23.99 Typical High $114.82 | Facility | None | $17.78 | $23.99 | $114.82 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $19.95 | Professional | None | $10.23 | $14.13 | $19.95 |
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 $10.23 Median $14.13 Typical High $33.11 | Professional | None | $10.23 | $14.13 | $33.11 |
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 $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Where Arizona sits
The same service costs 3.0 times more in Alaska 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· 39th of 51
$19.95
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.