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 $3.63 Median $9.55 Typical High $24.55 | Facility | None | $3.63 | $9.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.98 | Professional | None | $3.16 | $3.16 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.63 Median $12.02 Typical High $18.20 | Facility | None | $2.63 | $12.02 | $18.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.51 Median $3.98 Typical High $5.62 | Professional | None | $2.51 | $3.98 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $9.33 Typical High $13.18 | Facility | None | $3.39 | $9.33 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $4.37 Typical High $7.24 | Professional | None | $3.16 | $4.37 | $7.24 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $4.68 Typical High $100.00 | Facility | None | $3.47 | $4.68 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $2.75 Typical High $3.16 | Professional | None | $2.00 | $2.75 | $3.16 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.75 Typical High $6.46 | Professional | None | $2.00 | $2.75 | $6.46 |
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 $1.58 Median $1.58 Typical High $1.58 | Professional | 52 · Reduced service | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | 53 · Discontinued | $0.63 | $0.63 | $0.63 |
Where Arizona sits
The same service costs 4.0 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· 42nd of 51
$3.98
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.