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 $5.89 Median $24.55 Typical High $39.81 | Facility | None | $5.89 | $24.55 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | None | $5.13 | $5.13 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.37 Median $19.50 Typical High $29.51 | Facility | None | $4.37 | $19.50 | $29.51 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $9.33 | Professional | None | $4.07 | $6.46 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $15.14 Typical High $21.38 | Facility | None | $5.50 | $15.14 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $11.75 | Professional | None | $5.13 | $6.92 | $11.75 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $7.76 Typical High $109.65 | Facility | None | $5.75 | $7.76 | $109.65 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $6.31 | Professional | None | $3.24 | $4.47 | $6.31 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $10.72 | Professional | None | $3.24 | $4.47 | $10.72 |
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 $2.57 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.02 |
Where Arizona sits
The same service costs 3.2 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
$6.46
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.