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 $2.75 Median $5.50 Typical High $18.62 | Facility | None | $2.75 | $5.50 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $5.01 | Professional | None | $2.40 | $2.63 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.55 | Professional | None | $2.51 | $2.51 | $3.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.04 Median $9.12 Typical High $13.80 | Facility | None | $2.04 | $9.12 | $13.80 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.91 Median $3.02 Typical High $4.27 | Professional | None | $1.91 | $3.02 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $7.08 Typical High $10.00 | Facility | None | $2.57 | $7.08 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.16 Typical High $5.62 | Professional | None | $2.34 | $3.16 | $5.62 |
Medica Setting Facility Modifier None Typical Low $2.63 Median $3.55 Typical High $100.00 | Facility | None | $2.63 | $3.55 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $2.95 Typical High $3.55 | Professional | None | $2.14 | $2.95 | $3.55 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $4.90 | Professional | None | $2.14 | $3.02 | $4.90 |
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 $1.20 Median $1.20 Typical High $1.20 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.48 |
Where Arizona sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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· 41st of 51
$3.39
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.