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 $10.47 Median $43.65 Typical High $70.79 | Facility | None | $10.47 | $43.65 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.76 Median $34.67 Typical High $52.48 | Facility | None | $7.76 | $34.67 | $52.48 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $16.22 | Professional | None | $7.24 | $11.48 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $26.92 Typical High $38.02 | Facility | None | $9.55 | $26.92 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $20.42 | Professional | None | $7.94 | $12.30 | $20.42 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $14.79 Typical High $79.43 | Facility | None | $9.12 | $14.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $10.96 | Professional | None | $5.75 | $7.08 | $10.96 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $13.80 | Professional | None | $5.75 | $7.08 | $13.80 |
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 $4.57 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Where Arizona sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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
$11.22
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.