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 $28.18 Median $117.49 Typical High $190.55 | Facility | None | $28.18 | $117.49 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.91 Median $104.71 Typical High $158.49 | Facility | None | $22.91 | $104.71 | $158.49 |
BCBS Arizona Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $50.12 | Professional | None | $21.88 | $34.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $102.33 | Facility | None | $40.74 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $56.23 | Professional | None | $31.62 | $43.65 | $56.23 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $346.74 | Facility | None | $24.55 | $38.02 | $346.74 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $32.36 Typical High $34.67 | Professional | None | $15.49 | $32.36 | $34.67 |
United Setting Professional Modifier None Typical Low $15.49 Median $32.36 Typical High $54.95 | Professional | None | $15.49 | $32.36 | $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 $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
Where Arizona sits
The same service costs 10.2 times more in Kansas 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· 40th of 51
$34.67
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.