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 $9.77 Median $17.38 Typical High $75.86 | Facility | None | $9.77 | $17.38 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $21.88 | Professional | None | $9.77 | $13.49 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $14.79 | Professional | None | $8.91 | $9.55 | $14.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.32 Median $37.15 Typical High $57.54 | Facility | None | $8.32 | $37.15 | $57.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.76 Median $12.30 Typical High $17.78 | Professional | None | $7.76 | $12.30 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $28.84 Typical High $40.74 | Facility | None | $10.72 | $28.84 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $22.39 | Professional | None | $9.77 | $12.59 | $22.39 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $100.00 | Facility | None | $10.96 | $16.60 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $13.18 | Professional | None | $6.17 | $8.71 | $13.18 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $13.18 | Professional | None | $6.17 | $8.71 | $13.18 |
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 $4.90 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
Where Arizona sits
The same service costs 7.9 times more in Vermont 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· 42nd of 51
$12.88
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.