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 $11.22 Median $46.77 Typical High $75.86 | Facility | None | $11.22 | $46.77 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | None | $9.77 | $9.77 | $10.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.77 Median $42.66 Typical High $63.10 | Facility | None | $9.77 | $42.66 | $63.10 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $21.88 | Professional | None | $14.13 | $14.45 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $28.84 Typical High $40.74 | Facility | None | $5.25 | $28.84 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $8.13 Typical High $70.79 | Professional | None | $5.13 | $8.13 | $70.79 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $25.70 | Facility | None | $9.77 | $11.75 | $25.70 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $20.89 Typical High $100.00 | Professional | None | $5.25 | $20.89 | $100.00 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.71 Typical High $19.95 | Professional | None | $5.01 | $8.71 | $19.95 |
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 $4.90 Median $4.90 Typical High $5.50 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.19 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.19 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Delaware. 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· 27th of 51
$15.85
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.