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 $14.79 Median $61.66 Typical High $97.72 | Facility | None | $14.79 | $61.66 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $22.39 | Professional | None | $12.88 | $12.88 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $13.18 | Professional | None | $11.48 | $12.30 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.72 Median $48.98 Typical High $74.13 | Facility | None | $10.72 | $48.98 | $74.13 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $22.91 | Professional | None | $10.00 | $16.22 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $37.15 Typical High $53.70 | Facility | None | $13.80 | $37.15 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $28.84 | Professional | None | $12.88 | $17.38 | $28.84 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $19.05 Typical High $147.91 | Facility | None | $14.13 | $19.05 | $147.91 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $15.14 | Professional | None | $7.94 | $10.96 | $15.14 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $26.30 | Professional | None | $7.94 | $11.22 | $26.30 |
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 $6.31 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Where Arizona sits
The same service costs 5.5 times more in Kansas 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· 36th of 51
$16.22
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.