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 $7.94 Median $16.60 Typical High $61.66 | Facility | None | $7.94 | $16.60 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $14.13 | Professional | None | $7.94 | $7.94 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $11.75 | Professional | None | $5.89 | $7.59 | $11.75 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.61 Median $30.20 Typical High $45.71 | Facility | None | $6.61 | $30.20 | $45.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.17 Median $10.00 Typical High $14.13 | Professional | None | $6.17 | $10.00 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $22.91 Typical High $33.11 | Facility | None | $8.51 | $22.91 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $18.20 | Professional | None | $7.94 | $10.72 | $18.20 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $11.75 Typical High $60.26 | Facility | None | $8.71 | $11.75 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $10.47 | Professional | None | $4.90 | $6.92 | $10.47 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $16.22 | Professional | None | $4.90 | $6.92 | $16.22 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Where Arizona sits
The same service costs 4.5 times more in Alaska 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· 42nd of 51
$10.00
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.