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 $109.65 Median $141.25 Typical High $165.96 | Facility | None | $109.65 | $141.25 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | None | $109.65 | $141.25 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $199.53 | Professional | None | $128.82 | $158.49 | $199.53 |
BCBS Arizona Setting Facility Modifier None Typical Low $117.49 Median $407.38 Typical High $794.33 | Facility | None | $117.49 | $407.38 | $794.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $229.09 | Professional | None | $125.89 | $158.49 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $128.82 Typical High $204.17 | Professional | None | $52.48 | $128.82 | $204.17 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $165.96 Typical High $239.88 | Facility | None | $144.54 | $165.96 | $239.88 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $1,230.27 | Professional | None | $147.91 | $154.88 | $1,230.27 |
United Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $194.98 | Professional | None | $131.83 | $147.91 | $194.98 |
8 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 $144.54 Median $165.96 Typical High $169.82 | Facility | AF · Specialist physician | $144.54 | $165.96 | $169.82 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $109.65 Median $125.89 Typical High $128.82 | Facility | HO · Master's level | $109.65 | $125.89 | $128.82 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $123.03 Median $141.25 Typical High $144.54 | Facility | TD · Registered nurse | $123.03 | $141.25 | $144.54 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $141.25 Median $154.88 Typical High $165.96 | Professional | AF · Specialist physician | $141.25 | $154.88 | $165.96 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | HO · Master's level | $109.65 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | TD · Registered nurse | $123.03 | $123.03 | $141.25 |
Ambetter Setting Professional Modifier ET · Emergency service Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | ET · Emergency service | $169.82 | $169.82 | $199.53 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | GC · Resident with teaching physician | $158.49 | $158.49 | $281.84 |
Where Arizona sits
The same service costs 2.2 times more in North Dakota 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· 39th of 51
$145
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.