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 $6.17 Median $13.18 Typical High $47.86 | Facility | None | $6.17 | $13.18 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $12.88 | Professional | None | $6.17 | $6.17 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $6.03 Typical High $6.46 | Professional | None | $2.34 | $6.03 | $6.46 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.25 Median $23.99 Typical High $36.31 | Facility | None | $5.25 | $23.99 | $36.31 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.90 Median $7.76 Typical High $11.22 | Professional | None | $4.90 | $7.76 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $18.20 Typical High $26.30 | Facility | None | $6.76 | $18.20 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $13.80 | Professional | None | $6.31 | $8.51 | $13.80 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $9.33 Typical High $100.00 | Facility | None | $6.92 | $9.33 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $7.41 | Professional | None | $3.89 | $5.50 | $7.41 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $8.32 | Professional | None | $3.89 | $5.50 | $8.32 |
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 $3.09 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
Where Arizona sits
The same service costs 12.9 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· 44th of 51
$7.76
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.