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 $66.07 Median $85.11 Typical High $100.00 | Facility | None | $66.07 | $85.11 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $89.13 | Professional | None | $66.07 | $75.86 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $104.71 | Professional | None | $79.43 | $95.50 | $104.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $87.10 Median $309.03 Typical High $602.56 | Facility | None | $87.10 | $309.03 | $602.56 |
BCBS Arizona Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $102.33 | Professional | None | $66.07 | $70.79 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $120.23 | Professional | None | $52.48 | $75.86 | $120.23 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $630.96 | Professional | None | $89.13 | $100.00 | $630.96 |
United Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $117.49 | Professional | None | $87.10 | $89.13 | $117.49 |
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 $87.10 Median $89.13 Typical High $95.50 | Facility | AF · Specialist physician | $87.10 | $89.13 | $95.50 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | HO · Master's level | $66.07 | $66.07 | $70.79 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $74.13 Median $75.86 Typical High $81.28 | Facility | TD · Registered nurse | $74.13 | $75.86 | $81.28 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $87.10 Median $89.13 Typical High $91.20 | Professional | AF · Specialist physician | $87.10 | $89.13 | $91.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | HO · Master's level | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | TD · Registered nurse | $74.13 | $75.86 | $75.86 |
Where Arizona sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 44th of 51
$83.18
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.