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 $13.18 Median $26.92 Typical High $89.13 | Facility | None | $13.18 | $26.92 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | None | $11.48 | $11.48 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $10.72 | Professional | None | $9.33 | $10.72 | $10.72 |
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 $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 $8.32 Median $20.89 Typical High $26.30 | Professional | None | $8.32 | $20.89 | $26.30 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $16.60 Typical High $81.28 | Facility | None | $11.48 | $16.60 | $81.28 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $11.22 | Professional | None | $7.24 | $7.24 | $11.22 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $15.49 | Professional | None | $7.24 | $7.24 | $15.49 |
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 4.0 times more in Alaska than in New Jersey. 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· 42nd of 51
$13.49
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.