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 $6.17 Median $16.22 Typical High $41.69 | Facility | None | $6.17 | $16.22 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $10.72 | Professional | None | $5.37 | $5.37 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $5.62 | Professional | None | $5.25 | $5.62 | $5.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.57 Median $20.42 Typical High $31.62 | Facility | None | $4.57 | $20.42 | $31.62 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $9.77 | Professional | None | $4.27 | $6.76 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $15.85 Typical High $22.39 | Facility | None | $5.89 | $15.85 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $12.30 | Professional | None | $5.50 | $7.24 | $12.30 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $8.13 Typical High $100.00 | Facility | None | $5.89 | $8.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $6.31 | Professional | None | $3.39 | $4.79 | $6.31 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $11.22 | Professional | None | $3.39 | $4.79 | $11.22 |
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 $2.69 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Where Arizona sits
The same service costs 5.6 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· 42nd of 51
$6.76
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.