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 $30.20 Median $125.89 Typical High $204.17 | Facility | None | $30.20 | $125.89 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.88 Median $100.00 Typical High $151.36 | Facility | None | $21.88 | $100.00 | $151.36 |
BCBS Arizona Setting Professional Modifier None Typical Low $20.42 Median $33.11 Typical High $46.77 | Professional | None | $20.42 | $33.11 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $75.86 Typical High $109.65 | Facility | None | $16.98 | $75.86 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $35.48 Typical High $58.88 | Professional | None | $13.18 | $35.48 | $58.88 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $186.21 | Facility | None | $26.30 | $33.11 | $186.21 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $23.44 | Professional | None | $11.22 | $16.22 | $23.44 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $27.54 | Professional | None | $11.22 | $16.22 | $27.54 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Where Arizona sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 38th of 51
$27.54
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.