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 $67.61 Median $281.84 Typical High $457.09 | Facility | None | $67.61 | $281.84 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $223.87 Typical High $338.84 | Facility | None | $50.12 | $223.87 | $338.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $104.71 | Professional | None | $46.77 | $74.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $173.78 Typical High $245.47 | Facility | None | $56.23 | $173.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $134.90 | Professional | None | $43.65 | $79.43 | $134.90 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $416.87 | Facility | None | $43.65 | $74.13 | $416.87 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $52.48 | Professional | None | $37.15 | $38.02 | $52.48 |
United Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $79.43 | Professional | None | $37.15 | $38.02 | $79.43 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Where Arizona sits
The same service costs 4.2 times more in Alaska 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· 44th of 51
$64.57
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.