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 $8.71 Median $36.31 Typical High $58.88 | Facility | None | $8.71 | $36.31 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | None | $7.59 | $7.59 | $8.32 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.31 Median $28.84 Typical High $43.65 | Facility | None | $6.31 | $28.84 | $43.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.89 Median $9.55 Typical High $13.49 | Professional | None | $5.89 | $9.55 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $22.39 Typical High $31.62 | Facility | None | $8.13 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.00 Typical High $16.98 | Professional | None | $7.59 | $10.00 | $16.98 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $100.00 | Facility | None | $7.59 | $12.30 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $6.46 Typical High $6.92 | Professional | None | $4.79 | $6.46 | $6.92 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $15.49 | Professional | None | $4.79 | $6.61 | $15.49 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Where Arizona sits
The same service costs 3.5 times more in Alaska 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· 35th of 51
$9.55
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.