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 $1.58 Median $3.63 Typical High $12.30 | Facility | None | $1.58 | $3.63 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $2.14 Typical High $3.47 | Professional | None | $1.58 | $2.14 | $3.47 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.62 Typical High $1.66 | Professional | None | $1.20 | $1.62 | $1.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.35 Median $6.03 Typical High $9.12 | Facility | None | $1.35 | $6.03 | $9.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.26 Median $2.00 Typical High $2.82 | Professional | None | $1.26 | $2.00 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $4.68 Typical High $6.61 | Facility | None | $1.70 | $4.68 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $2.19 Typical High $3.09 | Professional | None | $1.66 | $2.19 | $3.09 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $2.34 Typical High $100.00 | Facility | None | $1.74 | $2.34 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.41 Median $1.95 Typical High $2.34 | Professional | None | $1.41 | $1.95 | $2.34 |
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 $1.41 Median $2.00 Typical High $3.24 | Professional | None | $1.41 | $2.00 | $3.24 |
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 $0.79 Median $0.79 Typical High $0.79 | Professional | 52 · Reduced service | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.32 | $0.32 | $0.32 |
Where Arizona sits
The same service costs 17.0 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· 43rd of 51
$2.24
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.