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 $9.33 Median $10.96 Typical High $14.79 | Facility | None | $9.33 | $10.96 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $12.59 | Professional | None | $8.32 | $10.72 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $14.45 | Professional | None | $10.00 | $12.30 | $14.45 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.47 Median $15.49 Typical High $30.20 | Facility | None | $4.47 | $15.49 | $30.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $14.45 | Professional | None | $7.94 | $10.00 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.25 Typical High $15.14 | Professional | None | $2.82 | $5.25 | $15.14 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $12.59 Typical High $18.20 | Facility | None | $10.96 | $12.59 | $18.20 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $91.20 | Professional | None | $11.22 | $12.59 | $91.20 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
6 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 Facility Modifier AF · Specialist physician Typical Low $10.96 Median $12.59 Typical High $13.18 | Facility | AF · Specialist physician | $10.96 | $12.59 | $13.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $8.32 Median $9.55 Typical High $9.77 | Facility | HO · Master's level | $8.32 | $9.55 | $9.77 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $9.33 Median $10.72 Typical High $11.22 | Facility | TD · Registered nurse | $9.33 | $10.72 | $11.22 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $4.47 Median $10.96 Typical High $12.59 | Professional | AF · Specialist physician | $4.47 | $10.96 | $12.59 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $3.39 Median $8.32 Typical High $9.55 | Professional | HO · Master's level | $3.39 | $8.32 | $9.55 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $3.89 Median $9.33 Typical High $10.72 | Professional | TD · Registered nurse | $3.89 | $9.33 | $10.72 |
Where Arizona sits
The same service costs 1.8 times more in Alaska 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· 46th of 51
$10.72
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.