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 $23.44 Median $41.69 Typical High $181.97 | Facility | None | $23.44 | $41.69 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | None | $23.44 | $28.84 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $20.89 Median $91.20 Typical High $134.90 | Facility | None | $20.89 | $91.20 | $134.90 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $53.70 | Professional | None | $29.51 | $30.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $69.18 Typical High $97.72 | Facility | None | $30.20 | $69.18 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $66.07 | Professional | None | $18.62 | $31.62 | $66.07 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $41.69 Typical High $91.20 | Facility | None | $23.44 | $41.69 | $91.20 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $288.40 | Professional | None | $14.79 | $20.89 | $288.40 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $21.38 | Professional | None | $14.79 | $19.95 | $21.38 |
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 $11.75 Median $11.75 Typical High $13.18 | Professional | 52 · Reduced service | $11.75 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.25 |
Where Arizona sits
The same service costs 4.3 times more in Minnesota 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· 40th of 51
$33.11
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.