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 $89.13 Median $371.54 Typical High $602.56 | Facility | None | $89.13 | $371.54 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $138.04 | Professional | None | $77.62 | $77.62 | $138.04 |
BCBS Arizona Setting Facility Modifier None Typical Low $77.62 Median $338.84 Typical High $501.19 | Facility | None | $77.62 | $338.84 | $501.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $173.78 | Professional | None | $112.20 | $114.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $323.59 | Facility | None | $102.33 | $229.09 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $457.09 | Professional | None | $61.66 | $125.89 | $457.09 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $204.17 | Facility | None | $77.62 | $112.20 | $204.17 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $208.93 Typical High $954.99 | Professional | None | $69.18 | $208.93 | $954.99 |
United Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $173.78 | Professional | None | $69.18 | $102.33 | $173.78 |
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 $38.90 Median $38.90 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $19.05 | Professional | 53 · Discontinued | $15.49 | $15.49 | $19.05 |
Where Arizona sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 33rd of 51
$138
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.