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 $9.77 Median $40.74 Typical High $64.57 | Facility | None | $9.77 | $40.74 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.08 Median $32.36 Typical High $48.98 | Facility | None | $7.08 | $32.36 | $48.98 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $15.14 | Professional | None | $6.61 | $10.47 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $24.55 Typical High $35.48 | Facility | None | $9.12 | $24.55 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $19.05 | Professional | None | $8.51 | $11.22 | $19.05 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $97.72 | Facility | None | $9.33 | $12.59 | $97.72 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $7.76 | Professional | None | $5.25 | $7.24 | $7.76 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.41 Typical High $17.38 | Professional | None | $5.25 | $7.41 | $17.38 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Where Arizona sits
The same service costs 3.5 times more in South Carolina 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· 38th of 51
$10.47
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.