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 $9.55 Median $39.81 Typical High $64.57 | Facility | None | $9.55 | $39.81 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $16.98 | Professional | None | $8.32 | $8.91 | $16.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $6.92 Median $31.62 Typical High $47.86 | Facility | None | $6.92 | $31.62 | $47.86 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $14.79 | Professional | None | $6.46 | $10.47 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $23.99 Typical High $34.67 | Facility | None | $8.71 | $23.99 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $18.62 | Professional | None | $8.13 | $10.96 | $18.62 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $12.30 Typical High $131.83 | Facility | None | $9.12 | $12.30 | $131.83 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $12.30 | Professional | None | $7.41 | $9.77 | $12.30 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $16.60 | Professional | None | $7.41 | $10.00 | $16.60 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.66 |
Where Arizona sits
The same service costs 3.5 times more in Kansas than in Georgia. 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· 41st of 51
$11.75
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.