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 $3.80 Median $8.13 Typical High $29.51 | Facility | None | $3.80 | $8.13 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $8.13 | Professional | None | $3.80 | $3.80 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $3.98 | Professional | None | $2.82 | $3.72 | $3.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.24 Median $14.45 Typical High $21.88 | Facility | None | $3.24 | $14.45 | $21.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.02 Median $4.79 Typical High $6.76 | Professional | None | $3.02 | $4.79 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $11.22 Typical High $15.85 | Facility | None | $4.07 | $11.22 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.01 Typical High $8.71 | Professional | None | $3.80 | $5.01 | $8.71 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $5.62 Typical High $60.26 | Facility | None | $4.17 | $5.62 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $3.31 Typical High $5.25 | Professional | None | $2.40 | $3.31 | $5.25 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.31 Typical High $6.76 | Professional | None | $2.40 | $3.31 | $6.76 |
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 $1.91 Median $1.91 Typical High $1.91 | Professional | 52 · Reduced service | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.76 |
Where Arizona sits
The same service costs 13.5 times more in Vermont than in Maryland. 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
$4.90
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.