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 $28.84 Median $75.86 Typical High $194.98 | Facility | None | $28.84 | $75.86 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $25.12 Typical High $25.12 | Professional | None | $10.23 | $25.12 | $25.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $72.44 Typical High $109.65 | Facility | None | $15.85 | $72.44 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $45.71 | Professional | None | $19.95 | $31.62 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $74.13 Typical High $89.13 | Facility | None | $8.32 | $74.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $45.71 Typical High $57.54 | Professional | None | $16.60 | $45.71 | $57.54 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $36.31 Typical High $177.83 | Facility | None | $19.50 | $36.31 | $177.83 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $15.85 | Professional | None | $5.01 | $5.01 | $15.85 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $15.85 | Professional | None | $5.01 | $5.01 | $15.85 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Where Arizona sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 22nd of 51
$25.12
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.