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 $6.31 Median $13.49 Typical High $48.98 | Facility | None | $6.31 | $13.49 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $12.30 | Professional | None | $6.31 | $6.31 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.61 Typical High $9.55 | Professional | None | $6.17 | $6.61 | $9.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.37 Median $23.99 Typical High $36.31 | Facility | None | $5.37 | $23.99 | $36.31 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $11.48 | Professional | None | $5.01 | $7.94 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $18.62 Typical High $26.30 | Facility | None | $6.76 | $18.62 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $14.45 | Professional | None | $6.31 | $8.51 | $14.45 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $10.47 Typical High $100.00 | Facility | None | $6.92 | $10.47 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $8.32 | Professional | None | $3.98 | $5.50 | $8.32 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $12.88 | Professional | None | $3.98 | $5.50 | $12.88 |
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 $3.16 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
Where Arizona sits
The same service costs 15.8 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· 43rd of 51
$8.13
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.