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 $13.18 Median $26.30 Typical High $89.13 | Facility | None | $13.18 | $26.30 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $19.95 | Professional | None | $11.48 | $11.48 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.55 Median $43.65 Typical High $66.07 | Facility | None | $9.55 | $43.65 | $66.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $20.42 | Professional | None | $8.91 | $14.45 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $33.11 Typical High $47.86 | Facility | None | $12.30 | $33.11 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $25.70 | Professional | None | $11.48 | $15.49 | $25.70 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $16.98 Typical High $97.72 | Facility | None | $12.59 | $16.98 | $97.72 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $13.49 | Professional | None | $7.08 | $9.77 | $13.49 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $23.44 | Professional | None | $7.08 | $10.00 | $23.44 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
Where Arizona sits
The same service costs 8.1 times more in Vermont than in Indiana. 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· 42nd of 51
$14.45
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.