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 $3.47 Median $14.45 Typical High $22.91 | Facility | None | $3.47 | $14.45 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
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 $2.34 Median $3.80 Typical High $5.37 | Professional | None | $2.34 | $3.80 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $8.71 Typical High $12.59 | Facility | None | $2.82 | $8.71 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $4.07 Typical High $6.76 | Professional | None | $2.14 | $4.07 | $6.76 |
Medica Setting Facility Modifier None Typical Low $3.02 Median $4.47 Typical High $100.00 | Facility | None | $3.02 | $4.47 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.86 Median $1.91 Typical High $3.55 | Professional | None | $1.86 | $1.91 | $3.55 |
United Setting Professional Modifier None Typical Low $1.86 Median $1.91 Typical High $4.47 | Professional | None | $1.86 | $1.91 | $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 $0.60 Median $0.60 Typical High $0.60 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.60 |
Where Arizona sits
The same service costs 3.4 times more in Alaska 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· 36th of 51
$3.55
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.