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 $44.67 Median $186.21 Typical High $302.00 | Facility | None | $44.67 | $186.21 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $37.15 Median $165.96 Typical High $251.19 | Facility | None | $37.15 | $165.96 | $251.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $79.43 | Professional | None | $34.67 | $54.95 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $89.13 | Professional | None | $66.07 | $70.79 | $89.13 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $56.23 Typical High $537.03 | Facility | None | $38.90 | $56.23 | $537.03 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $43.65 | Professional | None | $24.55 | $33.88 | $43.65 |
United Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $50.12 | Professional | None | $24.55 | $33.88 | $50.12 |
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 $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 49th of 51
$42.66
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.