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 $21.88 Median $91.20 Typical High $147.91 | Facility | None | $21.88 | $91.20 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.22 Median $72.44 Typical High $109.65 | Facility | None | $16.22 | $72.44 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $33.88 | Professional | None | $15.14 | $23.99 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $56.23 Typical High $79.43 | Facility | None | $19.95 | $56.23 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $43.65 | Professional | None | $17.78 | $25.70 | $43.65 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $181.97 | Facility | None | $20.89 | $30.90 | $181.97 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $20.89 | Professional | None | $12.02 | $15.49 | $20.89 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $36.31 | Professional | None | $12.02 | $15.49 | $36.31 |
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 $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Where Arizona sits
The same service costs 4.8 times more in Kansas than in Texas. 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
$22.91
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.