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 Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | None | $33.11 | $33.11 | $46.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $40.74 Median $177.83 Typical High $263.03 | Facility | None | $40.74 | $177.83 | $263.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $64.57 | Professional | None | $29.51 | $35.48 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $74.13 | Professional | None | $33.11 | $38.90 | $74.13 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $85.11 | Facility | None | $33.11 | $37.15 | $85.11 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $229.09 Typical High $229.09 | Professional | None | $35.48 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $63.10 | Professional | None | $33.11 | $38.90 | $63.10 |
2 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 Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 52 · Reduced service | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $7.59 | Professional | 53 · Discontinued | $6.61 | $6.61 | $7.59 |
Where Arizona sits
The same service costs 2.7 times more in Alaska than in New York. 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
$38.90
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.