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 $9.55 Median $20.42 Typical High $74.13 | Facility | None | $9.55 | $20.42 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $19.50 | Professional | None | $9.55 | $9.55 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $9.33 Typical High $10.00 | Professional | None | $7.24 | $9.33 | $10.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.13 Median $37.15 Typical High $56.23 | Facility | None | $8.13 | $37.15 | $56.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $17.38 | Professional | None | $7.59 | $12.02 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $28.18 Typical High $39.81 | Facility | None | $10.47 | $28.18 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $21.88 | Professional | None | $9.55 | $12.88 | $21.88 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $69.18 | Facility | None | $10.72 | $17.38 | $69.18 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $11.48 | Professional | None | $6.03 | $8.51 | $11.48 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $11.75 | Professional | None | $6.03 | $8.51 | $11.75 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
Where Arizona sits
The same service costs 8.3 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
$12.30
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.