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 $2.63 Median $10.96 Typical High $17.78 | Facility | None | $2.63 | $10.96 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.16 | Professional | None | $2.29 | $2.29 | $3.16 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.95 Median $8.71 Typical High $13.18 | Facility | None | $1.95 | $8.71 | $13.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.82 Median $2.88 Typical High $4.07 | Professional | None | $1.82 | $2.88 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $6.76 Typical High $9.55 | Facility | None | $2.45 | $6.76 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $5.13 | Professional | None | $2.34 | $3.02 | $5.13 |
Medica Setting Facility Modifier None Typical Low $2.29 Median $3.47 Typical High $60.26 | Facility | None | $2.29 | $3.47 | $60.26 |
Medica Setting Professional Modifier None Typical Low $1.45 Median $2.04 Typical High $2.09 | Professional | None | $1.45 | $2.04 | $2.09 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.04 Typical High $4.68 | Professional | None | $1.45 | $2.04 | $4.68 |
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 $1.15 Median $1.15 Typical High $1.15 | Professional | 52 · Reduced service | $1.15 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | 53 · Discontinued | $0.46 | $0.46 | $0.46 |
Where Arizona sits
The same service costs 6.2 times more in Kansas 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· 40th of 51
$2.88
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.