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 $7.76 Median $32.36 Typical High $52.48 | Facility | None | $7.76 | $32.36 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.75 Median $25.70 Typical High $38.90 | Facility | None | $5.75 | $25.70 | $38.90 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.37 Median $8.51 Typical High $12.02 | Professional | None | $5.37 | $8.51 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $19.95 Typical High $28.18 | Facility | None | $6.76 | $19.95 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $9.12 Typical High $15.49 | Professional | None | $5.13 | $9.12 | $15.49 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $10.00 Typical High $85.11 | Facility | None | $6.76 | $10.00 | $85.11 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $6.03 | Professional | None | $4.27 | $4.47 | $6.03 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $10.47 | Professional | None | $4.27 | $4.47 | $10.47 |
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 $3.39 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Where Arizona sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 40th of 51
$7.94
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.