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 $50.12 Median $208.93 Typical High $331.13 | Facility | None | $50.12 | $208.93 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $165.96 Typical High $251.19 | Facility | None | $36.31 | $165.96 | $251.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $77.62 | Professional | None | $33.88 | $53.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $125.89 Typical High $181.97 | Facility | None | $46.77 | $125.89 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $97.72 | Professional | None | $43.65 | $57.54 | $97.72 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $61.66 Typical High $309.03 | Facility | None | $42.66 | $61.66 | $309.03 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $41.69 | Professional | None | $26.92 | $38.02 | $41.69 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $41.69 | Professional | None | $26.92 | $38.02 | $41.69 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Where Arizona sits
The same service costs 3.0 times more in Alaska than in Oklahoma. 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· 47th of 51
$51.29
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.