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 $20.42 Median $85.11 Typical High $134.90 | Facility | None | $20.42 | $85.11 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.79 Median $67.61 Typical High $102.33 | Facility | None | $14.79 | $67.61 | $102.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $31.62 | Professional | None | $13.80 | $21.88 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $51.29 Typical High $74.13 | Facility | None | $18.20 | $51.29 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $39.81 | Professional | None | $15.85 | $23.44 | $39.81 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $125.89 | Facility | None | $17.38 | $28.18 | $125.89 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $15.85 | Professional | None | $10.96 | $13.49 | $15.85 |
United Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $23.44 | Professional | None | $10.96 | $13.80 | $23.44 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Texas. 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
$20.89
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.