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 $3.02 Median $12.59 Typical High $20.42 | Facility | None | $3.02 | $12.59 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.39 | Professional | None | $2.63 | $2.63 | $3.39 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.75 Typical High $2.75 | Professional | None | $2.57 | $2.75 | $2.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.24 Median $10.00 Typical High $15.14 | Facility | None | $2.24 | $10.00 | $15.14 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.09 Median $3.31 Typical High $4.68 | Professional | None | $2.09 | $3.31 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $7.76 Typical High $10.96 | Facility | None | $2.82 | $7.76 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $6.17 | Professional | None | $2.63 | $3.31 | $6.17 |
Medica Setting Facility Modifier None Typical Low $2.88 Median $3.98 Typical High $60.26 | Facility | None | $2.88 | $3.98 | $60.26 |
Medica Setting Professional Modifier None Typical Low $1.66 Median $2.29 Typical High $3.16 | Professional | None | $1.66 | $2.29 | $3.16 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.29 Typical High $5.37 | Professional | None | $1.66 | $2.29 | $5.37 |
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 $1.32 Median $1.32 Typical High $1.32 | Professional | 52 · Reduced service | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Where Arizona sits
The same service costs 3.4 times more in Kansas than in Maryland. 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
$3.31
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.