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 $2.29 Median $9.77 Typical High $15.49 | Facility | None | $2.29 | $9.77 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.55 | Professional | None | $2.04 | $2.04 | $3.55 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.70 Median $7.76 Typical High $11.75 | Facility | None | $1.70 | $7.76 | $11.75 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.58 Median $2.51 Typical High $3.63 | Professional | None | $1.58 | $2.51 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $5.89 Typical High $8.51 | Facility | None | $2.14 | $5.89 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $4.68 | Professional | None | $2.00 | $2.82 | $4.68 |
Medica Setting Facility Modifier None Typical Low $2.24 Median $3.02 Typical High $100.00 | Facility | None | $2.24 | $3.02 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.26 Median $1.74 Typical High $2.29 | Professional | None | $1.26 | $1.74 | $2.29 |
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 $1.26 Median $1.78 Typical High $3.72 | Professional | None | $1.26 | $1.78 | $3.72 |
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 $1.00 Median $1.00 Typical High $1.00 | Professional | 52 · Reduced service | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | 53 · Discontinued | $0.40 | $0.40 | $0.40 |
Where Arizona sits
The same service costs 3.4 times more in Alaska 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· 39th of 51
$2.51
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.