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 $3.63 Median $15.14 Typical High $24.55 | Facility | None | $3.63 | $15.14 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.63 Median $12.02 Typical High $18.20 | Facility | None | $2.63 | $12.02 | $18.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.45 Median $3.98 Typical High $5.62 | Professional | None | $2.45 | $3.98 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $9.12 Typical High $13.18 | Facility | None | $3.24 | $9.12 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.07 Typical High $7.24 | Professional | None | $2.82 | $4.07 | $7.24 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $100.00 | Facility | None | $3.47 | $5.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.45 Typical High $2.82 | Professional | None | $1.95 | $2.45 | $2.82 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.51 Typical High $5.89 | Professional | None | $1.95 | $2.51 | $5.89 |
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 $1.58 Median $1.58 Typical High $1.58 | Professional | 52 · Reduced service | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | 53 · Discontinued | $0.63 | $0.63 | $0.63 |
Where Arizona sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 39th of 51
$3.80
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.