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 $48.98 Median $204.17 Typical High $331.13 | Facility | None | $48.98 | $204.17 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $40.74 Median $186.21 Typical High $281.84 | Facility | None | $40.74 | $186.21 | $281.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $87.10 | Professional | None | $38.02 | $61.66 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $125.89 Typical High $177.83 | Facility | None | $26.92 | $125.89 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $97.72 | Professional | None | $26.92 | $54.95 | $97.72 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $54.95 Typical High $302.00 | Facility | None | $37.15 | $54.95 | $302.00 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $38.90 | Professional | None | $22.39 | $26.92 | $38.90 |
United Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $54.95 | Professional | None | $22.39 | $26.92 | $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 $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Where Arizona sits
The same service costs 6.0 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· 44th of 51
$46.77
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.