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 $851.14 Median $3,548.13 Typical High $5,754.40 | Facility | None | $851.14 | $3,548.13 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,096.48 | Professional | None | $741.31 | $741.31 | $1,096.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $229.09 Median $1,047.13 Typical High $1,584.89 | Facility | None | $229.09 | $1,047.13 | $1,584.89 |
BCBS Arizona Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $489.78 | Professional | None | $213.80 | $346.74 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $74.13 Typical High $1,548.82 | Facility | None | $54.95 | $74.13 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,698.24 | Professional | None | $537.03 | $1,000.00 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,258.93 Typical High $7,244.36 | Facility | None | $741.31 | $1,258.93 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $1,096.48 | Professional | None | $436.52 | $478.63 | $1,096.48 |
United Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $977.24 | Professional | None | $436.52 | $478.63 | $977.24 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Where Arizona sits
The same service costs 43.7 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· 37th of 51
$741
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.