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 $8.32 Median $34.67 Typical High $56.23 | Facility | None | $8.32 | $34.67 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.03 Median $27.54 Typical High $41.69 | Facility | None | $6.03 | $27.54 | $41.69 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.62 Median $9.12 Typical High $12.88 | Professional | None | $5.62 | $9.12 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $20.89 Typical High $30.20 | Facility | None | $7.76 | $20.89 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $16.60 | Professional | None | $7.08 | $9.77 | $16.60 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $11.75 Typical High $100.00 | Facility | None | $7.94 | $11.75 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $6.61 | Professional | None | $4.47 | $6.17 | $6.61 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $14.79 | Professional | None | $4.47 | $6.31 | $14.79 |
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 $3.63 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.45 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 38th of 51
$9.12
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.