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 $3.02 Median $6.61 Typical High $22.39 | Facility | None | $3.02 | $6.61 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $6.61 | Professional | None | $3.02 | $4.07 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.69 Median $2.95 Typical High $3.16 | Professional | None | $2.69 | $2.95 | $3.16 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.51 Median $11.48 Typical High $17.38 | Facility | None | $2.51 | $11.48 | $17.38 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.40 Median $3.80 Typical High $5.37 | Professional | None | $2.40 | $3.80 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $8.91 Typical High $12.59 | Facility | None | $3.24 | $8.91 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $6.76 | Professional | None | $3.02 | $3.89 | $6.76 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $6.61 Typical High $100.00 | Facility | None | $3.31 | $6.61 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $4.07 | Professional | None | $1.91 | $2.63 | $4.07 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $4.47 | Professional | None | $1.91 | $2.63 | $4.47 |
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 $1.51 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.62 |
Where Arizona sits
The same service costs 15.8 times more in Vermont than in Maryland. 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· 42nd 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.