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 $11.48 Median $47.86 Typical High $77.62 | Facility | None | $11.48 | $47.86 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.51 Median $38.02 Typical High $57.54 | Facility | None | $8.51 | $38.02 | $57.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $18.20 | Professional | None | $7.94 | $12.59 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $29.51 Typical High $41.69 | Facility | None | $10.96 | $29.51 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $22.91 | Professional | None | $10.23 | $13.49 | $22.91 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $100.00 | Facility | None | $10.00 | $16.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $12.59 | Professional | None | $6.31 | $8.91 | $12.59 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $20.42 | Professional | None | $6.31 | $8.91 | $20.42 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 36th of 51
$12.59
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.