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 $2.82 Median $5.01 Typical High $21.88 | Facility | None | $2.82 | $5.01 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $6.17 | Professional | None | $2.88 | $2.88 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.82 Typical High $2.95 | Professional | None | $2.34 | $2.82 | $2.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.40 Median $10.96 Typical High $16.60 | Facility | None | $2.40 | $10.96 | $16.60 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.24 Median $3.63 Typical High $5.13 | Professional | None | $2.24 | $3.63 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $8.32 Typical High $12.02 | Facility | None | $3.09 | $8.32 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $6.76 | Professional | None | $2.82 | $3.80 | $6.76 |
Medica Setting Facility Modifier None Typical Low $3.16 Median $6.31 Typical High $100.00 | Facility | None | $3.16 | $6.31 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.78 Median $2.51 Typical High $3.47 | Professional | None | $1.78 | $2.51 | $3.47 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.51 Typical High $5.13 | Professional | None | $1.78 | $2.51 | $5.13 |
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 $1.45 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.56 |
Where Arizona sits
The same service costs 15.1 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· 40th of 51
$3.72
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.