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 $46.77 Median $194.98 Typical High $316.23 | Facility | None | $46.77 | $194.98 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $34.67 Median $154.88 Typical High $234.42 | Facility | None | $34.67 | $154.88 | $234.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $72.44 | Professional | None | $32.36 | $51.29 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $120.23 Typical High $169.82 | Facility | None | $10.47 | $120.23 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $54.95 Typical High $93.33 | Professional | None | $7.94 | $54.95 | $93.33 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $51.29 Typical High $288.40 | Facility | None | $17.78 | $51.29 | $288.40 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $17.78 Typical High $33.11 | Professional | None | $6.92 | $17.78 | $33.11 |
United Setting Professional Modifier None Typical Low $6.92 Median $25.70 Typical High $36.31 | Professional | None | $6.92 | $25.70 | $36.31 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Where Arizona sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 29th of 51
$40.74
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.