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 $6.17 Typical High $20.89 | Facility | None | $2.63 | $6.17 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $5.50 | Professional | None | $2.69 | $2.69 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.57 Typical High $2.75 | Professional | None | $2.00 | $2.57 | $2.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.24 Median $10.23 Typical High $15.49 | Facility | None | $2.24 | $10.23 | $15.49 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.09 Median $3.39 Typical High $4.79 | Professional | None | $2.09 | $3.39 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $7.76 Typical High $11.22 | Facility | None | $2.88 | $7.76 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.47 Typical High $6.17 | Professional | None | $2.63 | $3.47 | $6.17 |
Medica Setting Facility Modifier None Typical Low $2.95 Median $4.37 Typical High $100.00 | Facility | None | $2.95 | $4.37 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.70 Median $2.34 Typical High $5.50 | Professional | None | $1.70 | $2.34 | $5.50 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.34 Typical High $5.50 | Professional | None | $1.70 | $2.34 | $5.50 |
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 $1.35 Median $1.35 Typical High $1.35 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Where Arizona sits
The same service costs 13.8 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· 42nd of 51
$3.47
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.