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 $15.85 Median $66.07 Typical High $104.71 | Facility | None | $15.85 | $66.07 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.48 Median $52.48 Typical High $79.43 | Facility | None | $11.48 | $52.48 | $79.43 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.72 Median $16.98 Typical High $24.55 | Professional | None | $10.72 | $16.98 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $39.81 Typical High $57.54 | Facility | None | $3.98 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $18.20 Typical High $30.90 | Professional | None | $3.02 | $18.20 | $30.90 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $17.38 Typical High $100.00 | Facility | None | $6.61 | $17.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $6.31 Typical High $11.22 | Professional | None | $2.63 | $6.31 | $11.22 |
United Setting Professional Modifier None Typical Low $2.63 Median $8.51 Typical High $12.30 | Professional | None | $2.63 | $8.51 | $12.30 |
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 $6.76 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.75 |
Where Arizona sits
The same service costs 7.6 times more in Alaska 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· 31st of 51
$13.80
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.