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 $52.48 Median $218.78 Typical High $346.74 | Facility | None | $52.48 | $218.78 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $63.10 | Professional | None | $38.90 | $45.71 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $24.55 Median $109.65 Typical High $165.96 | Facility | None | $24.55 | $109.65 | $165.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $21.88 Median $35.48 Typical High $50.12 | Professional | None | $21.88 | $35.48 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $57.54 Typical High $77.62 | Facility | None | $23.99 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $43.65 | Professional | None | $18.62 | $21.88 | $43.65 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $165.96 | Facility | None | $35.48 | $50.12 | $165.96 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $28.84 | Professional | None | $17.78 | $19.05 | $28.84 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $35.48 | Professional | None | $14.79 | $19.05 | $35.48 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Arizona sits
The same service costs 4.5 times more in Alaska 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· 22nd of 51
$41.69
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.