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 $60.26 Median $251.19 Typical High $407.38 | Facility | None | $60.26 | $251.19 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $223.87 Typical High $338.84 | Facility | None | $50.12 | $223.87 | $338.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $107.15 | Professional | None | $46.77 | $75.86 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $154.88 Typical High $218.78 | Facility | None | $34.67 | $154.88 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $70.79 Typical High $120.23 | Professional | None | $26.92 | $70.79 | $120.23 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $67.61 Typical High $371.54 | Facility | None | $37.15 | $67.61 | $371.54 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $46.77 | Professional | None | $22.39 | $33.11 | $46.77 |
United Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $54.95 | Professional | None | $22.39 | $33.11 | $54.95 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Where Arizona sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 37th of 51
$54.95
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.