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 $2.51 Median $5.37 Typical High $19.50 | Facility | None | $2.51 | $5.37 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $4.57 | Professional | None | $2.51 | $2.51 | $4.57 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.14 Median $9.77 Typical High $14.79 | Facility | None | $2.14 | $9.77 | $14.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $4.57 | Professional | None | $2.00 | $3.24 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $7.41 Typical High $10.72 | Facility | None | $2.63 | $7.41 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.47 Typical High $5.62 | Professional | None | $2.34 | $3.47 | $5.62 |
Medica Setting Facility Modifier None Typical Low $2.51 Median $3.80 Typical High $100.00 | Facility | None | $2.51 | $3.80 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $2.04 Typical High $2.82 | Professional | None | $1.58 | $2.04 | $2.82 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.04 Typical High $3.80 | Professional | None | $1.58 | $2.04 | $3.80 |
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 $1.29 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.51 |
Where Arizona sits
The same service costs 11.7 times more in Minnesota 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
$3.24
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.