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 $9.77 Median $20.42 Typical High $75.86 | Facility | None | $9.77 | $20.42 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.13 Median $37.15 Typical High $56.23 | Facility | None | $8.13 | $37.15 | $56.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $17.38 | Professional | None | $7.59 | $12.30 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $28.18 Typical High $40.74 | Facility | None | $7.41 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.88 Typical High $22.39 | Professional | None | $5.62 | $12.88 | $22.39 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $12.88 Typical High $85.11 | Facility | None | $9.77 | $12.88 | $85.11 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $8.71 | Professional | None | $4.90 | $6.03 | $8.71 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $11.75 | Professional | None | $4.90 | $6.03 | $11.75 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
Where Arizona sits
The same service costs 5.4 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· 37th of 51
$10.72
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.