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 $46.77 Median $46.77 Typical High $69.18 | Facility | None | $46.77 | $46.77 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | None | $46.77 | $60.26 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $85.11 | Professional | None | $57.54 | $72.44 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $46.77 Median $165.96 Typical High $323.59 | Facility | None | $46.77 | $165.96 | $323.59 |
BCBS Arizona Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $69.18 | Professional | None | $44.67 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $77.62 | Professional | None | $26.92 | $53.70 | $77.62 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $102.33 | Facility | None | $61.66 | $70.79 | $102.33 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $489.78 | Professional | None | $56.23 | $64.57 | $489.78 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
7 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 $61.66 Median $67.61 Typical High $70.79 | Facility | AF · Specialist physician | $61.66 | $67.61 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $46.77 Median $51.29 Typical High $52.48 | Facility | HO · Master's level | $46.77 | $51.29 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $52.48 Median $57.54 Typical High $60.26 | Facility | TD · Registered nurse | $52.48 | $57.54 | $60.26 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $61.66 Median $70.79 Typical High $77.62 | Professional | AF · Specialist physician | $61.66 | $70.79 | $77.62 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | HO · Master's level | $46.77 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $52.48 Median $54.95 Typical High $60.26 | Professional | TD · Registered nurse | $52.48 | $54.95 | $60.26 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $56.23 Median $72.44 Typical High $120.23 | Professional | 93 · Audio-only telehealth | $56.23 | $72.44 | $120.23 |
Where Arizona sits
The same service costs 1.9 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· 42nd of 51
$57.54
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.