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 $18.62 Median $39.81 Typical High $144.54 | Facility | None | $18.62 | $39.81 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $33.11 | Professional | None | $18.62 | $18.62 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | None | $16.98 | $19.50 | $19.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $72.44 Typical High $109.65 | Facility | None | $15.85 | $72.44 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $33.88 | Professional | None | $14.79 | $23.44 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $54.95 Typical High $79.43 | Facility | None | $20.42 | $54.95 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $42.66 | Professional | None | $19.05 | $25.70 | $42.66 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $138.04 | Facility | None | $20.89 | $28.18 | $138.04 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $22.91 | Professional | None | $11.75 | $16.60 | $22.91 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $38.90 | Professional | None | $11.75 | $16.60 | $38.90 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Where Arizona sits
The same service costs 4.8 times more in Kansas 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· 42nd of 51
$23.44
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.