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 $69.18 Median $87.10 Typical High $100.00 | Facility | None | $69.18 | $87.10 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $91.20 | Professional | None | $69.18 | $77.62 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $109.65 | Professional | None | $69.18 | $74.13 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $107.15 Median $380.19 Typical High $741.31 | Facility | None | $107.15 | $380.19 | $741.31 |
BCBS Arizona Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $117.49 | Professional | None | $74.13 | $79.43 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $123.03 | Professional | None | $54.95 | $79.43 | $123.03 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $151.36 | Facility | None | $91.20 | $100.00 | $151.36 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $660.69 | Professional | None | $91.20 | $104.71 | $660.69 |
United Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $123.03 | Professional | None | $89.13 | $91.20 | $123.03 |
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 $91.20 Median $91.20 Typical High $97.72 | Facility | AF · Specialist physician | $91.20 | $91.20 | $97.72 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | HO · Master's level | $69.18 | $69.18 | $74.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $83.18 | Facility | TD · Registered nurse | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | AF · Specialist physician | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | HO · Master's level | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TD · Registered nurse | $77.62 | $77.62 | $77.62 |
Where Arizona sits
The same service costs 1.7 times more in Alaska than in Ohio. 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
$89.13
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.