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 $25.70 Median $47.86 Typical High $173.78 | Facility | None | $25.70 | $47.86 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | None | $22.91 | $22.91 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.05 Median $87.10 Typical High $131.83 | Facility | None | $19.05 | $87.10 | $131.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.78 Median $28.84 Typical High $40.74 | Professional | None | $17.78 | $28.84 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $66.07 Typical High $95.50 | Facility | None | $24.55 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $51.29 | Professional | None | $22.91 | $30.20 | $51.29 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $162.18 | Facility | None | $25.12 | $33.88 | $162.18 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $22.39 | Professional | None | $14.13 | $19.95 | $22.39 |
United Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $38.02 | Professional | None | $14.13 | $19.95 | $38.02 |
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 $11.22 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$28.84
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.