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 $13.80 Median $29.51 Typical High $107.15 | Facility | None | $13.80 | $29.51 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $28.84 | Professional | None | $13.80 | $13.80 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $14.45 | Professional | None | $13.49 | $14.45 | $14.45 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.75 Median $53.70 Typical High $81.28 | Facility | None | $11.75 | $53.70 | $81.28 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $25.12 | Professional | None | $10.96 | $17.38 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $40.74 Typical High $57.54 | Facility | None | $15.14 | $40.74 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $31.62 | Professional | None | $14.13 | $19.05 | $31.62 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $20.89 Typical High $100.00 | Facility | None | $15.49 | $20.89 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $16.98 | Professional | None | $8.71 | $12.30 | $16.98 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $25.70 | Professional | None | $8.71 | $12.30 | $25.70 |
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 $6.92 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.82 |
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· 39th of 51
$18.20
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.