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 $7.59 Median $15.85 Typical High $58.88 | Facility | None | $7.59 | $15.85 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $14.79 | Professional | None | $7.59 | $7.59 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $7.76 | Professional | None | $5.62 | $7.24 | $7.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.31 Median $28.84 Typical High $43.65 | Facility | None | $6.31 | $28.84 | $43.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.89 Median $9.55 Typical High $13.49 | Professional | None | $5.89 | $9.55 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $21.88 Typical High $31.62 | Facility | None | $8.13 | $21.88 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $16.98 | Professional | None | $7.41 | $10.00 | $16.98 |
Medica Setting Facility Modifier None Typical Low $8.32 Median $12.30 Typical High $60.26 | Facility | None | $8.32 | $12.30 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $10.47 | Professional | None | $4.68 | $6.61 | $10.47 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $15.49 | Professional | None | $4.68 | $6.61 | $15.49 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Where Arizona sits
The same service costs 11.7 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· 42nd of 51
$9.55
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.