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 $109.65 Median $295.12 Typical High $741.31 | Facility | None | $109.65 | $295.12 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $147.91 | Professional | None | $95.50 | $95.50 | $147.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $97.72 Median $416.87 Typical High $630.96 | Facility | None | $97.72 | $416.87 | $630.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $213.80 | Professional | None | $138.04 | $141.25 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $281.84 Typical High $398.11 | Facility | None | $109.65 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $562.34 | Professional | None | $75.86 | $138.04 | $562.34 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $309.03 | Facility | None | $95.50 | $138.04 | $309.03 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $229.09 Typical High $1,047.13 | Professional | None | $87.10 | $229.09 | $1,047.13 |
United Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $213.80 | Professional | None | $87.10 | $109.65 | $213.80 |
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 $47.86 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $19.05 | $23.44 |
Where Arizona sits
The same service costs 5.6 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· 31st of 51
$166
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.