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 $10.96 Median $19.50 Typical High $85.11 | Facility | None | $10.96 | $19.50 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $23.99 | Professional | None | $10.96 | $12.30 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | None | $8.71 | $9.12 | $9.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.33 Median $42.66 Typical High $64.57 | Facility | None | $9.33 | $42.66 | $64.57 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $19.95 | Professional | None | $8.71 | $13.80 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $32.36 Typical High $46.77 | Facility | None | $10.47 | $32.36 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.79 Typical High $25.12 | Professional | None | $7.94 | $14.79 | $25.12 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $79.43 | Facility | None | $10.96 | $16.60 | $79.43 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $16.60 | Professional | None | $10.00 | $14.13 | $16.60 |
United Setting Professional Modifier None Typical Low $13.18 Median $14.13 Typical High $16.60 | Professional | None | $13.18 | $14.13 | $16.60 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Where Arizona sits
The same service costs 3.2 times more in Alaska 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· 44th of 51
$14.13
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.