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 $23.99 Median $63.10 Typical High $162.18 | Facility | None | $23.99 | $63.10 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None | $20.89 | $20.89 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $17.38 Median $79.43 Typical High $120.23 | Facility | None | $17.38 | $79.43 | $120.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $37.15 | Professional | None | $16.22 | $26.30 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $60.26 Typical High $87.10 | Facility | None | $22.39 | $60.26 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $46.77 | Professional | None | $20.89 | $28.18 | $46.77 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $218.78 | Facility | None | $22.91 | $30.90 | $218.78 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $28.84 | Professional | None | $12.88 | $18.20 | $28.84 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $42.66 | Professional | None | $12.88 | $18.20 | $42.66 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Where Arizona sits
The same service costs 4.2 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· 37th of 51
$26.30
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.