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 $16.60 Median $69.18 Typical High $112.20 | Facility | None | $16.60 | $69.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $70.79 Typical High $107.15 | Facility | None | $15.85 | $70.79 | $107.15 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.79 Median $23.99 Typical High $33.88 | Professional | None | $14.79 | $23.99 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $9.33 Typical High $107.15 | Facility | None | $1.95 | $9.33 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $26.92 Typical High $33.88 | Professional | None | $10.72 | $26.92 | $33.88 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $18.20 Typical High $134.90 | Facility | None | $3.63 | $18.20 | $134.90 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $19.50 | Professional | None | $7.94 | $12.88 | $19.50 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $19.95 | Professional | None | $7.94 | $12.88 | $19.95 |
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 $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Where Arizona sits
The same service costs 11.2 times more in Texas than in Maryland. 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· 49th of 51
$15.85
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.