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 $81.28 Median $338.84 Typical High $549.54 | Facility | None | $81.28 | $338.84 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $302.00 Typical High $457.09 | Facility | None | $67.61 | $302.00 | $457.09 |
BCBS Arizona Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $144.54 | Professional | None | $63.10 | $102.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $208.93 Typical High $295.12 | Facility | None | $56.23 | $208.93 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $162.18 | Professional | None | $43.65 | $95.50 | $162.18 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $501.19 | Facility | None | $48.98 | $95.50 | $501.19 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $67.61 | Professional | None | $37.15 | $44.67 | $67.61 |
United Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $81.28 | Professional | None | $37.15 | $44.67 | $81.28 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Where Arizona sits
The same service costs 6.2 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· 43rd of 51
$77.62
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.