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 $3.98 Median $16.60 Typical High $26.92 | Facility | None | $3.98 | $16.60 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.88 Median $13.18 Typical High $19.95 | Facility | None | $2.88 | $13.18 | $19.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.69 Median $4.37 Typical High $6.17 | Professional | None | $2.69 | $4.37 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $10.00 Typical High $14.45 | Facility | None | $3.24 | $10.00 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $4.47 Typical High $7.76 | Professional | None | $2.51 | $4.47 | $7.76 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $100.00 | Facility | None | $3.47 | $5.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $3.09 | Professional | None | $2.14 | $2.19 | $3.09 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $5.13 | Professional | None | $2.14 | $2.19 | $5.13 |
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 $1.74 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.69 |
Where Arizona sits
The same service costs 3.7 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· 34th of 51
$4.07
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.