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 $4.47 Median $11.75 Typical High $30.20 | Facility | None | $4.47 | $11.75 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.01 Typical High $10.00 | Professional | None | $3.89 | $5.01 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $3.63 Typical High $3.63 | Professional | None | $2.88 | $3.63 | $3.63 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.31 Median $14.79 Typical High $22.39 | Facility | None | $3.31 | $14.79 | $22.39 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.09 Median $4.90 Typical High $6.92 | Professional | None | $3.09 | $4.90 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $11.48 Typical High $16.22 | Facility | None | $3.72 | $11.48 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.50 Typical High $8.71 | Professional | None | $2.82 | $5.50 | $8.71 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $6.31 Typical High $100.00 | Facility | None | $4.07 | $6.31 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $5.75 | Professional | None | $3.47 | $3.47 | $5.75 |
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 $3.47 Median $3.55 Typical High $5.75 | Professional | None | $3.47 | $3.55 | $5.75 |
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 $1.95 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.78 |
Where Arizona sits
The same service costs 7.9 times more in Minnesota than in New York. 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· 38th of 51
$5.25
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.