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 $16.98 Median $70.79 Typical High $114.82 | Facility | None | $16.98 | $70.79 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.30 Median $56.23 Typical High $85.11 | Facility | None | $12.30 | $56.23 | $85.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $11.48 Median $18.62 Typical High $26.30 | Professional | None | $11.48 | $18.62 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $42.66 Typical High $61.66 | Facility | None | $15.85 | $42.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $33.88 | Professional | None | $14.79 | $19.95 | $33.88 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $23.99 Typical High $199.53 | Facility | None | $16.22 | $23.99 | $199.53 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $19.05 | Professional | None | $9.33 | $12.88 | $19.05 |
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 $9.33 Median $12.88 Typical High $30.20 | Professional | None | $9.33 | $12.88 | $30.20 |
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 $7.41 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.95 | $2.95 | $2.95 |
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· 36th of 51
$18.62
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.