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 $10.72 Median $22.91 Typical High $83.18 | Facility | None | $10.72 | $22.91 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | None | $10.72 | $10.72 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.12 Median $40.74 Typical High $61.66 | Facility | None | $9.12 | $40.74 | $61.66 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $19.50 | Professional | None | $8.51 | $13.49 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $31.62 Typical High $44.67 | Facility | None | $10.47 | $31.62 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.45 Typical High $23.99 | Professional | None | $7.94 | $14.45 | $23.99 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $75.86 | Facility | None | $10.72 | $16.22 | $75.86 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $12.88 | Professional | None | $6.76 | $7.08 | $12.88 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $16.60 | Professional | None | $6.76 | $7.08 | $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 $5.37 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.14 |
Where Arizona sits
The same service costs 3.5 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· 40th of 51
$12.59
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.