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 $6.92 Median $12.30 Typical High $53.70 | Facility | None | $6.92 | $12.30 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $14.79 | Professional | None | $6.92 | $6.92 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $7.24 | Professional | None | $5.13 | $6.76 | $7.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.89 Median $26.30 Typical High $39.81 | Facility | None | $5.89 | $26.30 | $39.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.50 Median $8.71 Typical High $12.30 | Professional | None | $5.50 | $8.71 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $20.42 Typical High $28.84 | Facility | None | $7.41 | $20.42 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $15.49 | Professional | None | $6.92 | $9.33 | $15.49 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $60.26 | Facility | None | $7.59 | $13.18 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $8.32 | Professional | None | $4.37 | $6.03 | $8.32 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $10.23 | Professional | None | $4.37 | $6.03 | $10.23 |
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 $3.47 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.38 |
Where Arizona sits
The same service costs 12.6 times more in Vermont 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· 41st of 51
$8.71
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.