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 $95.50 Median $102.33 Typical High $208.93 | Facility | None | $95.50 | $102.33 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $131.83 | Professional | None | $66.07 | $66.07 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | None | $61.66 | $61.66 | $64.57 |
BCBS Arizona Setting Facility Modifier None Typical Low $138.04 Median $602.56 Typical High $891.25 | Facility | None | $138.04 | $602.56 | $891.25 |
BCBS Arizona Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $102.33 | Professional | None | $53.70 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $169.82 | Professional | None | $63.10 | $79.43 | $169.82 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $186.21 | Facility | None | $66.07 | $72.44 | $186.21 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $1,548.82 Typical High $1,548.82 | Professional | None | $81.28 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $165.96 | Professional | None | $74.13 | $93.33 | $165.96 |
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 $32.36 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.79 |
Where Arizona sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 43rd of 51
$85.11
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.