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 $8.13 Median $18.62 Typical High $63.10 | Facility | None | $8.13 | $18.62 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $16.60 | Professional | None | $8.13 | $8.13 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $8.32 | Professional | None | $6.03 | $7.24 | $8.32 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.76 Median $30.90 Typical High $46.77 | Facility | None | $6.76 | $30.90 | $46.77 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $14.45 | Professional | None | $6.31 | $10.23 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $23.44 Typical High $33.88 | Facility | None | $8.71 | $23.44 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $18.62 | Professional | None | $8.13 | $10.96 | $18.62 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $14.13 Typical High $60.26 | Facility | None | $8.91 | $14.13 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $9.77 | Professional | None | $5.01 | $7.08 | $9.77 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $16.60 | Professional | None | $5.01 | $7.08 | $16.60 |
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 $4.07 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Where Arizona sits
The same service costs 9.5 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· 41st of 51
$10.23
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.