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 $4.47 Median $18.62 Typical High $30.20 | Facility | None | $4.47 | $18.62 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.24 Median $14.79 Typical High $22.39 | Facility | None | $3.24 | $14.79 | $22.39 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $6.92 | Professional | None | $3.02 | $4.90 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $11.22 Typical High $16.22 | Facility | None | $4.07 | $11.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.37 Typical High $8.71 | Professional | None | $3.16 | $5.37 | $8.71 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $5.75 Typical High $100.00 | Facility | None | $3.98 | $5.75 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $5.75 | Professional | None | $3.47 | $3.89 | $5.75 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $6.46 | Professional | None | $3.47 | $3.98 | $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 $1.95 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.78 |
Where Arizona sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 39th of 51
$4.90
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.