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 $8.71 Median $18.20 Typical High $66.07 | Facility | None | $8.71 | $18.20 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $15.49 | Professional | None | $8.71 | $8.71 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $8.91 | Professional | None | $7.76 | $8.32 | $8.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.24 Median $33.11 Typical High $50.12 | Facility | None | $7.24 | $33.11 | $50.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.76 Median $10.96 Typical High $15.49 | Professional | None | $6.76 | $10.96 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $25.12 Typical High $36.31 | Facility | None | $9.33 | $25.12 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $19.50 | Professional | None | $8.51 | $12.59 | $19.50 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $12.88 Typical High $100.00 | Facility | None | $9.55 | $12.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $12.88 | Professional | None | $7.76 | $10.47 | $12.88 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $12.88 | Professional | None | $7.76 | $10.72 | $12.88 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.74 | $1.74 | $1.74 |
Where Arizona sits
The same service costs 4.3 times more in Minnesota 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· 46th of 51
$11.22
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.