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 $8.91 Median $17.78 Typical High $60.26 | Facility | None | $8.91 | $17.78 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $12.59 | Professional | None | $7.76 | $7.76 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $7.59 | Professional | None | $6.17 | $7.24 | $7.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.90 Median $21.88 Typical High $33.11 | Facility | None | $4.90 | $21.88 | $33.11 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.03 Median $9.77 Typical High $13.80 | Professional | None | $6.03 | $9.77 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $22.39 Typical High $32.36 | Facility | None | $7.94 | $22.39 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $14.13 Typical High $17.38 | Professional | None | $5.62 | $14.13 | $17.38 |
Medica Setting Facility Modifier None Typical Low $7.76 Median $11.48 Typical High $60.26 | Facility | None | $7.76 | $11.48 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $11.48 | Professional | None | $4.79 | $4.79 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $11.48 | Professional | None | $4.79 | $4.79 | $11.48 |
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 $3.89 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.55 |
Where Arizona sits
The same service costs 24.0 times more in Vermont 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· 35th of 51
$9.55
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.