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 $5.01 Median $8.91 Typical High $38.90 | Facility | None | $5.01 | $8.91 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $14.79 | Professional | None | $5.01 | $7.59 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $4.90 Typical High $5.25 | Professional | None | $3.80 | $4.90 | $5.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.27 Median $19.05 Typical High $28.84 | Facility | None | $4.27 | $19.05 | $28.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $9.12 | Professional | None | $3.98 | $6.31 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $14.79 Typical High $20.89 | Facility | None | $5.37 | $14.79 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $10.96 | Professional | None | $5.01 | $6.92 | $10.96 |
Medica Setting Facility Modifier None Typical Low $5.50 Median $10.96 Typical High $100.00 | Facility | None | $5.50 | $10.96 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $4.37 Typical High $6.17 | Professional | None | $3.16 | $4.37 | $6.17 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.37 Typical High $6.76 | Professional | None | $3.16 | $4.37 | $6.76 |
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 $2.51 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
Where Arizona sits
The same service costs 21.4 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· 41st of 51
$6.92
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.