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 $9.55 Median $39.81 Typical High $64.57 | Facility | None | $9.55 | $39.81 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.08 Median $31.62 Typical High $47.86 | Facility | None | $7.08 | $31.62 | $47.86 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $14.79 | Professional | None | $6.61 | $10.47 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $24.55 Typical High $34.67 | Facility | None | $8.71 | $24.55 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $19.05 | Professional | None | $7.59 | $11.22 | $19.05 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $12.30 Typical High $70.79 | Facility | None | $9.12 | $12.30 | $70.79 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $7.41 | Professional | None | $5.25 | $6.61 | $7.41 |
United Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $15.49 | Professional | None | $5.25 | $6.61 | $15.49 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.66 |
Where Arizona sits
The same service costs 6.5 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· 39th of 51
$10.00
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.