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 $22.39 Median $41.69 Typical High $151.36 | Facility | None | $22.39 | $41.69 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $39.81 | Professional | None | $19.50 | $19.50 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $20.42 | Professional | None | $19.05 | $20.42 | $20.42 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.55 Median $42.66 Typical High $64.57 | Facility | None | $9.55 | $42.66 | $64.57 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $19.95 | Professional | None | $8.91 | $14.13 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $57.54 Typical High $81.28 | Facility | None | $21.38 | $57.54 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $57.54 | Professional | None | $23.99 | $36.31 | $57.54 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $29.51 Typical High $213.80 | Facility | None | $21.88 | $29.51 | $213.80 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $38.90 | Professional | None | $12.30 | $17.38 | $38.90 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $29.51 | Professional | None | $12.30 | $17.38 | $29.51 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Where Arizona sits
The same service costs 4.4 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· 43rd 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.