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 $10.72 Median $20.42 Typical High $70.79 | Facility | None | $10.72 | $20.42 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $16.22 | Professional | None | $9.33 | $9.33 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $9.55 | Professional | None | $8.32 | $8.91 | $9.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.76 Median $35.48 Typical High $53.70 | Facility | None | $7.76 | $35.48 | $53.70 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $16.60 | Professional | None | $7.24 | $11.75 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $26.92 Typical High $38.90 | Facility | None | $10.00 | $26.92 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $21.38 | Professional | None | $9.33 | $12.59 | $21.38 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $13.80 Typical High $213.80 | Facility | None | $10.23 | $13.80 | $213.80 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $13.80 | Professional | None | $5.75 | $8.13 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $19.05 | Professional | None | $5.75 | $8.13 | $19.05 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.86 |
Where Arizona sits
The same service costs 28.8 times more in Vermont 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· 40th of 51
$11.75
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.