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 $21.38 Median $89.13 Typical High $144.54 | Facility | None | $21.38 | $89.13 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | None | $18.62 | $18.62 | $20.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $79.43 Typical High $120.23 | Facility | None | $18.62 | $79.43 | $120.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $41.69 | Professional | None | $26.30 | $27.54 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $53.70 Typical High $77.62 | Facility | None | $9.12 | $53.70 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $14.79 Typical High $131.83 | Professional | None | $7.08 | $14.79 | $131.83 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $47.86 | Facility | None | $18.62 | $22.39 | $47.86 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $38.90 Typical High $138.04 | Professional | None | $9.33 | $38.90 | $138.04 |
United Setting Professional Modifier None Typical Low $8.71 Median $16.60 Typical High $37.15 | Professional | None | $8.71 | $16.60 | $37.15 |
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 $9.33 Median $9.33 Typical High $10.47 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.17 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.17 |
Where Arizona sits
The same service costs 9.5 times more in Texas 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· 24th of 51
$29.51
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.