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 $14.79 Median $38.90 Typical High $100.00 | Facility | None | $14.79 | $38.90 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $25.70 | Professional | None | $12.88 | $12.88 | $25.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.96 Median $48.98 Typical High $74.13 | Facility | None | $10.96 | $48.98 | $74.13 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $23.44 | Professional | None | $10.23 | $16.22 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $38.02 Typical High $53.70 | Facility | None | $13.80 | $38.02 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $29.51 | Professional | None | $12.88 | $17.38 | $29.51 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $19.50 Typical High $100.00 | Facility | None | $14.13 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $17.78 | Professional | None | $8.13 | $11.48 | $17.78 |
United Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $26.30 | Professional | None | $8.13 | $11.48 | $26.30 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.57 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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
$16.98
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.