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 $74.13 Median $309.03 Typical High $489.78 | Facility | None | $74.13 | $309.03 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Arizona Setting Facility Modifier None Typical Low $60.26 Median $275.42 Typical High $416.87 | Facility | None | $60.26 | $275.42 | $416.87 |
BCBS Arizona Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $128.82 | Professional | None | $57.54 | $91.20 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $186.21 Typical High $269.15 | Facility | None | $56.23 | $186.21 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $144.54 | Professional | None | $53.70 | $81.28 | $144.54 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $457.09 | Facility | None | $64.57 | $95.50 | $457.09 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $75.86 | Professional | None | $39.81 | $46.77 | $75.86 |
United Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $89.13 | Professional | None | $39.81 | $46.77 | $89.13 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Where Arizona sits
The same service costs 5.4 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· 41st of 51
$75.86
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.