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 $251.19 Median $1,047.13 Typical High $1,698.24 | Facility | None | $251.19 | $1,047.13 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $204.17 Median $933.25 Typical High $1,412.54 | Facility | None | $204.17 | $933.25 | $1,412.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $446.68 | Professional | None | $194.98 | $309.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $645.65 Typical High $912.01 | Facility | None | $81.28 | $645.65 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $281.84 Typical High $501.19 | Professional | None | $77.62 | $281.84 | $501.19 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $295.12 Typical High $1,548.82 | Facility | None | $165.96 | $295.12 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $194.98 | Professional | None | $66.07 | $138.04 | $194.98 |
United Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $194.98 | Professional | None | $66.07 | $138.04 | $194.98 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Where Arizona sits
The same service costs 8.9 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· 33rd of 51
$224
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.