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 $15.49 Median $35.48 Typical High $120.23 | Facility | None | $15.49 | $35.48 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.42 | Professional | None | $15.49 | $15.49 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | None | $14.79 | $15.85 | $15.85 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.88 Median $58.88 Typical High $89.13 | Facility | None | $12.88 | $58.88 | $89.13 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $27.54 | Professional | None | $12.02 | $19.50 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $44.67 Typical High $64.57 | Facility | None | $16.60 | $44.67 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $35.48 | Professional | None | $15.49 | $20.89 | $35.48 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $22.91 Typical High $213.80 | Facility | None | $16.98 | $22.91 | $213.80 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $18.62 | Professional | None | $9.55 | $13.49 | $18.62 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $20.42 | Professional | None | $9.55 | $13.49 | $20.42 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Where Arizona sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 38th of 51
$19.05
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.