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 $7.59 Median $31.62 Typical High $51.29 | Facility | None | $7.59 | $31.62 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $8.91 | Professional | None | $6.61 | $6.61 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.62 Median $25.12 Typical High $38.02 | Facility | None | $5.62 | $25.12 | $38.02 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $11.75 | Professional | None | $5.25 | $8.32 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $19.50 Typical High $27.54 | Facility | None | $7.08 | $19.50 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.71 Typical High $15.14 | Professional | None | $6.61 | $8.71 | $15.14 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $9.77 Typical High $120.23 | Facility | None | $7.24 | $9.77 | $120.23 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $9.12 | Professional | None | $4.17 | $5.75 | $9.12 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $13.49 | Professional | None | $4.17 | $5.75 | $13.49 |
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 $3.31 Median $3.31 Typical High $3.31 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Where Arizona sits
The same service costs 4.1 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· 36th of 51
$8.32
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.