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 $229.09 Median $239.88 Typical High $501.19 | Facility | None | $229.09 | $239.88 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $295.12 | Professional | None | $154.88 | $154.88 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | None | $147.91 | $147.91 | $165.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $309.03 Median $1,318.26 Typical High $1,995.26 | Facility | None | $309.03 | $1,318.26 | $1,995.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $245.47 | Professional | None | $128.82 | $173.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $371.54 | Professional | None | $154.88 | $194.98 | $371.54 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $338.84 | Facility | None | $154.88 | $173.78 | $338.84 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $1,737.80 Typical High $1,737.80 | Professional | None | $186.21 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $354.81 | Professional | None | $165.96 | $213.80 | $354.81 |
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 $77.62 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $31.62 | $31.62 | $35.48 |
Where Arizona sits
The same service costs 2.5 times more in Minnesota than in Florida. 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
$195
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.