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 $16.22 Median $67.61 Typical High $109.65 | Facility | None | $16.22 | $67.61 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.02 Median $54.95 Typical High $83.18 | Facility | None | $12.02 | $54.95 | $83.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $25.70 | Professional | None | $11.22 | $17.78 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $41.69 Typical High $58.88 | Facility | None | $14.79 | $41.69 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $32.36 | Professional | None | $12.88 | $19.05 | $32.36 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $100.00 | Facility | None | $14.13 | $22.91 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $12.88 | Professional | None | $8.91 | $10.96 | $12.88 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $26.30 | Professional | None | $8.91 | $11.22 | $26.30 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.82 |
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· 37th of 51
$16.98
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.