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 $54.95 Median $75.86 Typical High $114.82 | Facility | None | $54.95 | $75.86 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $89.13 | Professional | None | $54.95 | $74.13 | $89.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $100.00 Median $354.81 Typical High $691.83 | Facility | None | $100.00 | $354.81 | $691.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $100.00 | Professional | None | $52.48 | $69.18 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | None | $52.48 | $77.62 | $123.03 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $125.89 | Facility | None | $74.13 | $89.13 | $125.89 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $562.34 Typical High $660.69 | Professional | None | $100.00 | $562.34 | $660.69 |
United Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $154.88 | Professional | None | $81.28 | $97.72 | $154.88 |
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 $74.13 Median $87.10 Typical High $89.13 | Facility | AF · Specialist physician | $74.13 | $87.10 | $89.13 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $64.57 Typical High $66.07 | Facility | HO · Master's level | $54.95 | $64.57 | $66.07 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $63.10 Median $74.13 Typical High $75.86 | Facility | TD · Registered nurse | $63.10 | $74.13 | $75.86 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | AF · Specialist physician | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | HO · Master's level | $54.95 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | TD · Registered nurse | $63.10 | $75.86 | $75.86 |
Where Arizona sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 51st of 51
$74.13
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.