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 $13.80 Median $57.54 Typical High $93.33 | Facility | None | $13.80 | $57.54 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.79 | Professional | None | $12.02 | $12.02 | $14.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.02 Median $52.48 Typical High $77.62 | Facility | None | $12.02 | $52.48 | $77.62 |
BCBS Arizona Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $26.92 | Professional | None | $16.98 | $17.78 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $35.48 Typical High $50.12 | Facility | None | $13.18 | $35.48 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $30.20 | Professional | None | $9.55 | $20.42 | $30.20 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $17.38 Typical High $31.62 | Facility | None | $12.02 | $17.38 | $31.62 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $26.92 Typical High $134.90 | Professional | None | $10.72 | $26.92 | $134.90 |
United Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $26.92 | Professional | None | $10.72 | $13.18 | $26.92 |
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 $6.03 Median $6.03 Typical High $7.41 | Professional | 52 · Reduced service | $6.03 | $6.03 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.95 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.95 |
Where Arizona sits
The same service costs 10.2 times more in Texas 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· 32nd of 51
$20.42
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.