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 $5.62 Median $23.44 Typical High $38.02 | Facility | None | $5.62 | $23.44 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.17 Median $18.62 Typical High $28.18 | Facility | None | $4.17 | $18.62 | $28.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.89 Median $6.17 Typical High $8.71 | Professional | None | $3.89 | $6.17 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $14.45 Typical High $20.42 | Facility | None | $4.90 | $14.45 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $6.61 Typical High $11.48 | Professional | None | $3.80 | $6.61 | $11.48 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $6.61 Typical High $100.00 | Facility | None | $4.90 | $6.61 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $5.89 | Professional | None | $3.09 | $3.31 | $5.89 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $6.31 | Professional | None | $3.09 | $3.31 | $6.31 |
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 $2.45 Median $2.45 Typical High $2.45 | Professional | 52 · Reduced service | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | 53 · Discontinued | $0.98 | $0.98 | $0.98 |
Where Arizona sits
The same service costs 4.3 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· 35th of 51
$5.89
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.