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 $4.27 Median $17.78 Typical High $28.84 | Facility | None | $4.27 | $17.78 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $6.61 | Professional | None | $3.72 | $3.72 | $6.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.16 Median $14.13 Typical High $21.38 | Facility | None | $3.16 | $14.13 | $21.38 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.95 Median $4.68 Typical High $6.76 | Professional | None | $2.95 | $4.68 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $10.96 Typical High $15.49 | Facility | None | $3.98 | $10.96 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.01 Typical High $8.32 | Professional | None | $3.80 | $5.01 | $8.32 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $5.62 Typical High $100.00 | Facility | None | $4.07 | $5.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $3.39 | Professional | None | $2.34 | $3.24 | $3.39 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $7.59 | Professional | None | $2.34 | $3.24 | $7.59 |
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 $1.86 Median $1.86 Typical High $1.86 | Professional | 52 · Reduced service | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.76 |
Where Arizona sits
The same service costs 4.8 times more in Kansas than in Kentucky. 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
$4.68
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.