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 $2.29 Median $4.27 Typical High $14.79 | Facility | None | $2.29 | $4.27 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.98 | Professional | None | $2.00 | $2.00 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.95 Typical High $2.09 | Professional | None | $1.51 | $1.95 | $2.09 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.91 Median $8.51 Typical High $12.88 | Facility | None | $1.91 | $8.51 | $12.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.78 Median $2.88 Typical High $4.07 | Professional | None | $1.78 | $2.88 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $5.89 Typical High $8.32 | Facility | None | $2.14 | $5.89 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $4.68 | Professional | None | $2.00 | $2.82 | $4.68 |
Medica Setting Facility Modifier None Typical Low $2.24 Median $8.51 Typical High $89.13 | Facility | None | $2.24 | $8.51 | $89.13 |
Medica Setting Professional Modifier None Typical Low $1.26 Median $1.74 Typical High $2.75 | Professional | None | $1.26 | $1.74 | $2.75 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.74 Typical High $4.17 | Professional | None | $1.26 | $1.74 | $4.17 |
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 $1.00 Median $1.00 Typical High $1.00 | Professional | 52 · Reduced service | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | 53 · Discontinued | $0.40 | $0.40 | $0.40 |
Where Arizona sits
The same service costs 28.2 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· 39th of 51
$2.88
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.