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 $11.48 Median $24.55 Typical High $89.13 | Facility | None | $11.48 | $24.55 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $21.88 | Professional | None | $11.48 | $11.48 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.77 Median $44.67 Typical High $67.61 | Facility | None | $9.77 | $44.67 | $67.61 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $20.89 | Professional | None | $9.12 | $14.45 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $33.88 Typical High $47.86 | Facility | None | $11.22 | $33.88 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.49 Typical High $26.30 | Professional | None | $8.71 | $15.49 | $26.30 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $123.03 | Facility | None | $11.48 | $17.38 | $123.03 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $12.02 | Professional | None | $7.24 | $7.59 | $12.02 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $17.78 | Professional | None | $7.24 | $7.59 | $17.78 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
Where Arizona sits
The same service costs 20.4 times more in Vermont 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· 44th of 51
$13.80
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.