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 $4.17 Median $10.96 Typical High $28.18 | Facility | None | $4.17 | $10.96 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $7.24 | Professional | None | $3.63 | $3.63 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.72 Typical High $3.72 | Professional | None | $3.47 | $3.72 | $3.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.39 Median $15.49 Typical High $23.44 | Facility | None | $3.39 | $15.49 | $23.44 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.24 Median $5.13 Typical High $7.41 | Professional | None | $3.24 | $5.13 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $10.47 Typical High $15.14 | Facility | None | $3.89 | $10.47 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $4.68 Typical High $8.32 | Professional | None | $3.63 | $4.68 | $8.32 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $5.89 Typical High $60.26 | Facility | None | $3.98 | $5.89 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $3.16 Typical High $4.37 | Professional | None | $2.24 | $3.16 | $4.37 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.16 Typical High $6.46 | Professional | None | $2.24 | $3.16 | $6.46 |
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 $1.82 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.72 |
Where Arizona sits
The same service costs 11.2 times more in Vermont 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· 37th of 51
$4.90
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.