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 $15.49 Median $31.62 Typical High $104.71 | Facility | None | $15.49 | $31.62 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $26.92 | Professional | None | $13.49 | $13.49 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $16.22 | Professional | None | $10.23 | $10.23 | $16.22 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.22 Median $69.18 Typical High $104.71 | Facility | None | $16.22 | $69.18 | $104.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $36.31 | Professional | None | $22.91 | $23.99 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $39.81 Typical High $56.23 | Facility | None | $17.38 | $39.81 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $18.20 Typical High $97.72 | Professional | None | $10.72 | $18.20 | $97.72 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $50.12 | Facility | None | $13.49 | $19.50 | $50.12 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $36.31 Typical High $165.96 | Professional | None | $12.02 | $36.31 | $165.96 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $30.20 | Professional | None | $12.02 | $17.78 | $30.20 |
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 $6.76 Median $6.76 Typical High $8.32 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.31 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.31 |
Where Arizona sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 28th of 51
$25.70
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.