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 $19.05 Median $79.43 Typical High $125.89 | Facility | None | $19.05 | $79.43 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | None | $16.60 | $16.60 | $20.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $13.80 Median $63.10 Typical High $95.50 | Facility | None | $13.80 | $63.10 | $95.50 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $29.51 | Professional | None | $12.88 | $20.42 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $47.86 Typical High $69.18 | Facility | None | $17.78 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $37.15 | Professional | None | $16.60 | $21.88 | $37.15 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $24.55 Typical High $117.49 | Facility | None | $18.20 | $24.55 | $117.49 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $15.14 | Professional | None | $10.23 | $14.13 | $15.14 |
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 $10.23 Median $14.45 Typical High $33.88 | Professional | None | $10.23 | $14.45 | $33.88 |
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 $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Alabama. 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
$20.42
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.