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 $15.14 Median $28.18 Typical High $102.33 | Facility | None | $15.14 | $28.18 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | None | $13.18 | $13.18 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.22 Median $50.12 Typical High $75.86 | Facility | None | $11.22 | $50.12 | $75.86 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.47 Median $16.60 Typical High $23.44 | Professional | None | $10.47 | $16.60 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $38.90 Typical High $54.95 | Facility | None | $14.13 | $38.90 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $30.20 | Professional | None | $13.18 | $17.78 | $30.20 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $19.95 Typical High $100.00 | Facility | None | $14.45 | $19.95 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $18.20 | Professional | None | $8.32 | $11.48 | $18.20 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $26.92 | Professional | None | $8.32 | $11.48 | $26.92 |
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 $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Where Arizona sits
The same service costs 4.5 times more in Kansas 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· 35th of 51
$16.60
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.