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 $3.72 Median $15.49 Typical High $25.12 | Facility | None | $3.72 | $15.49 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | None | $3.24 | $3.24 | $3.39 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.75 Median $12.30 Typical High $18.62 | Facility | None | $2.75 | $12.30 | $18.62 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.57 Median $4.07 Typical High $5.89 | Professional | None | $2.57 | $4.07 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $9.55 Typical High $13.49 | Facility | None | $3.16 | $9.55 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $4.37 Typical High $7.24 | Professional | None | $2.51 | $4.37 | $7.24 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $4.79 Typical High $100.00 | Facility | None | $3.24 | $4.79 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.04 Median $2.14 Typical High $3.89 | Professional | None | $2.04 | $2.14 | $3.89 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.14 Typical High $5.13 | Professional | None | $2.04 | $2.14 | $5.13 |
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 $1.62 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.65 |
Where Arizona sits
The same service costs 8.3 times more in Kansas than in Kentucky. 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· 35th of 51
$3.89
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.