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 $13.49 Median $56.23 Typical High $91.20 | Facility | None | $13.49 | $56.23 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.00 Median $45.71 Typical High $69.18 | Facility | None | $10.00 | $45.71 | $69.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.33 Median $14.79 Typical High $21.38 | Professional | None | $9.33 | $14.79 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $34.67 Typical High $48.98 | Facility | None | $12.88 | $34.67 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $26.92 | Professional | None | $11.75 | $15.85 | $26.92 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $19.05 Typical High $100.00 | Facility | None | $11.75 | $19.05 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $16.22 | Professional | None | $7.41 | $10.47 | $16.22 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $24.55 | Professional | None | $7.41 | $10.47 | $24.55 |
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 $5.89 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.34 |
Where Arizona sits
The same service costs 3.6 times more in Kansas than in Oklahoma. 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· 40th of 51
$14.79
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.