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 $8.51 Median $35.48 Typical High $57.54 | Facility | None | $8.51 | $35.48 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $9.55 | Professional | None | $7.41 | $7.41 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.31 Median $28.18 Typical High $43.65 | Facility | None | $6.31 | $28.18 | $43.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $13.49 | Professional | None | $5.89 | $9.33 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $21.88 Typical High $30.90 | Facility | None | $7.94 | $21.88 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $16.98 | Professional | None | $7.41 | $10.00 | $16.98 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $11.22 Typical High $100.00 | Facility | None | $8.13 | $11.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $9.33 | Professional | None | $4.68 | $6.61 | $9.33 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $15.14 | Professional | None | $4.68 | $6.61 | $15.14 |
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 $3.72 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.48 |
Where Arizona sits
The same service costs 3.5 times more in Kansas than in Kentucky. 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· 40th of 51
$9.33
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.