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 $20.42 Median $41.69 Typical High $138.04 | Facility | None | $20.42 | $41.69 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $34.67 | Professional | None | $17.78 | $17.78 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.38 Median $91.20 Typical High $138.04 | Facility | None | $21.38 | $91.20 | $138.04 |
BCBS Arizona Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $46.77 | Professional | None | $30.20 | $31.62 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $52.48 Typical High $74.13 | Facility | None | $22.91 | $52.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $32.36 Typical High $125.89 | Professional | None | $14.13 | $32.36 | $125.89 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $25.70 Typical High $64.57 | Facility | None | $17.78 | $25.70 | $64.57 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $40.74 Typical High $3,235.94 | Professional | None | $15.85 | $40.74 | $3,235.94 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $37.15 | Professional | None | $15.85 | $23.44 | $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 $8.91 Median $8.91 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.37 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 29th of 51
$32.36
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.