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 $11.75 Median $48.98 Typical High $79.43 | Facility | None | $11.75 | $48.98 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | None | $10.23 | $10.23 | $12.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.71 Median $38.90 Typical High $58.88 | Facility | None | $8.71 | $38.90 | $58.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $18.20 | Professional | None | $8.13 | $12.88 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $30.20 Typical High $42.66 | Facility | None | $10.96 | $30.20 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $23.44 | Professional | None | $10.23 | $13.80 | $23.44 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $15.14 Typical High $89.13 | Facility | None | $11.22 | $15.14 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $12.30 | Professional | None | $6.46 | $8.91 | $12.30 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $20.89 | Professional | None | $6.46 | $8.91 | $20.89 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Where Arizona sits
The same service costs 3.9 times more in Kansas 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· 36th of 51
$12.88
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.