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 $26.92 Median $72.44 Typical High $181.97 | Facility | None | $26.92 | $72.44 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | None | $23.44 | $23.44 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.95 Median $91.20 Typical High $138.04 | Facility | None | $19.95 | $91.20 | $138.04 |
BCBS Arizona Setting Professional Modifier None Typical Low $18.62 Median $29.51 Typical High $42.66 | Professional | None | $18.62 | $29.51 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $69.18 Typical High $97.72 | Facility | None | $25.70 | $69.18 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $53.70 | Professional | None | $23.99 | $31.62 | $53.70 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $213.80 | Facility | None | $26.30 | $35.48 | $213.80 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $28.18 | Professional | None | $14.79 | $20.42 | $28.18 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $34.67 | Professional | None | $14.79 | $20.89 | $34.67 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.68 |
Where Arizona sits
The same service costs 4.3 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· 35th of 51
$29.51
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.