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 $16.60 Median $69.18 Typical High $112.20 | Facility | None | $16.60 | $69.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | None | $14.45 | $14.45 | $15.85 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.02 Median $54.95 Typical High $83.18 | Facility | None | $12.02 | $54.95 | $83.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $25.70 | Professional | None | $11.22 | $18.20 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $41.69 Typical High $60.26 | Facility | None | $15.49 | $41.69 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $32.36 | Professional | None | $14.45 | $19.50 | $32.36 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $23.44 Typical High $190.55 | Facility | None | $14.45 | $23.44 | $190.55 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $13.18 | Professional | None | $9.12 | $12.30 | $13.18 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $23.44 | Professional | None | $9.12 | $12.59 | $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 $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Where Arizona sits
The same service costs 3.0 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· 37th of 51
$18.20
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.