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 $16.98 Median $36.31 Typical High $131.83 | Facility | None | $16.98 | $36.31 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | None | $16.98 | $16.98 | $22.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.38 Median $97.72 Typical High $147.91 | Facility | None | $21.38 | $97.72 | $147.91 |
BCBS Arizona Setting Professional Modifier None Typical Low $20.42 Median $32.36 Typical High $46.77 | Professional | None | $20.42 | $32.36 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $2.34 Typical High $26.92 | Facility | None | $1.95 | $2.34 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $31.62 Typical High $39.81 | Professional | None | $12.59 | $31.62 | $39.81 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $20.42 Typical High $169.82 | Facility | None | $10.96 | $20.42 | $169.82 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $23.44 | Professional | None | $9.77 | $15.14 | $23.44 |
United Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $23.44 | Professional | None | $9.55 | $15.14 | $23.44 |
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 $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Where Arizona sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 51st of 51
$16.98
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.