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 $7.59 Median $13.49 Typical High $58.88 | Facility | None | $7.59 | $13.49 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $15.14 | Professional | None | $7.59 | $7.59 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | None | $7.41 | $7.41 | $7.94 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.46 Median $29.51 Typical High $44.67 | Facility | None | $6.46 | $29.51 | $44.67 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.03 Median $9.55 Typical High $13.80 | Professional | None | $6.03 | $9.55 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $22.39 Typical High $31.62 | Facility | None | $8.32 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $17.38 | Professional | None | $7.59 | $9.77 | $17.38 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $100.00 | Facility | None | $8.51 | $13.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $9.33 | Professional | None | $4.79 | $6.76 | $9.33 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $15.85 | Professional | None | $4.79 | $6.76 | $15.85 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Where Arizona sits
The same service costs 12.6 times more in Vermont 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· 43rd of 51
$9.55
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.