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 $5.50 Median $22.91 Typical High $37.15 | Facility | None | $5.50 | $22.91 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | None | $4.79 | $4.79 | $6.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.07 Median $18.20 Typical High $28.18 | Facility | None | $4.07 | $18.20 | $28.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.80 Median $6.03 Typical High $8.71 | Professional | None | $3.80 | $6.03 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $14.13 Typical High $19.95 | Facility | None | $5.01 | $14.13 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $10.96 | Professional | None | $4.47 | $6.61 | $10.96 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $7.24 Typical High $100.00 | Facility | None | $5.25 | $7.24 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $4.57 | Professional | None | $3.02 | $3.89 | $4.57 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $9.12 | Professional | None | $3.02 | $3.89 | $9.12 |
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 $2.40 Median $2.40 Typical High $2.40 | Professional | 52 · Reduced service | $2.40 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | 53 · Discontinued | $0.95 | $0.95 | $0.95 |
Where Arizona sits
The same service costs 4.1 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
$5.75
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.