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 $6.76 Median $28.18 Typical High $45.71 | Facility | None | $6.76 | $28.18 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $7.41 | Professional | None | $5.89 | $5.89 | $7.41 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.01 Median $22.39 Typical High $33.88 | Facility | None | $5.01 | $22.39 | $33.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $10.47 | Professional | None | $4.68 | $7.41 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $17.38 Typical High $24.55 | Facility | None | $6.17 | $17.38 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $13.49 | Professional | None | $5.50 | $7.76 | $13.49 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $8.71 Typical High $100.00 | Facility | None | $6.46 | $8.71 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $4.90 Typical High $7.59 | Professional | None | $3.72 | $4.90 | $7.59 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.90 Typical High $11.48 | Professional | None | $3.72 | $4.90 | $11.48 |
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 $2.95 Median $2.95 Typical High $2.95 | Professional | 52 · Reduced service | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.17 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 32nd of 51
$7.41
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.