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 $38.90 Median $162.18 Typical High $263.03 | Facility | None | $38.90 | $162.18 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | None | $33.88 | $33.88 | $38.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.88 Median $147.91 Typical High $218.78 | Facility | None | $33.88 | $147.91 | $218.78 |
BCBS Arizona Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $75.86 | Professional | None | $47.86 | $50.12 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $100.00 Typical High $141.25 | Facility | None | $10.00 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $18.20 Typical High $239.88 | Professional | None | $9.55 | $18.20 | $239.88 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $87.10 | Facility | None | $28.18 | $40.74 | $87.10 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $70.79 Typical High $251.19 | Professional | None | $10.00 | $70.79 | $251.19 |
United Setting Professional Modifier None Typical Low $9.55 Median $30.20 Typical High $67.61 | Professional | None | $9.55 | $30.20 | $67.61 |
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 $16.98 Median $16.98 Typical High $19.05 | Professional | 52 · Reduced service | $16.98 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.59 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.59 |
Where Arizona sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 21st of 51
$53.70
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.