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 $38.02 Median $48.98 Typical High $60.26 | Facility | None | $38.02 | $48.98 | $60.26 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $22.91 Median $25.12 Typical High $28.18 | Facility | 52 · Reduced service | $22.91 | $25.12 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $10.23 Typical High $11.22 | Facility | 53 · Discontinued | $9.12 | $10.23 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $51.29 | Professional | None | $34.67 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $25.12 Typical High $27.54 | Professional | 52 · Reduced service | $22.91 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $9.12 | $10.23 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | None | $38.90 | $38.90 | $60.26 |
BCBS Arizona Setting Facility Modifier None Typical Low $56.23 Median $194.98 Typical High $380.19 | Facility | None | $56.23 | $194.98 | $380.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $52.48 | Professional | None | $29.51 | $36.31 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $109.65 | Professional | None | $48.98 | $58.88 | $109.65 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $72.44 | Facility | None | $45.71 | $51.29 | $72.44 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $346.74 Typical High $371.54 | Professional | None | $57.54 | $346.74 | $371.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $93.33 | Professional | None | $51.29 | $57.54 | $93.33 |
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 $45.71 Median $51.29 Typical High $52.48 | Facility | AF · Specialist physician | $45.71 | $51.29 | $52.48 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $34.67 Median $38.02 Typical High $38.90 | Facility | HO · Master's level | $34.67 | $38.02 | $38.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $38.90 Median $42.66 Typical High $44.67 | Facility | TD · Registered nurse | $38.90 | $42.66 | $44.67 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | AF · Specialist physician | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | HO · Master's level | $34.67 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | TD · Registered nurse | $38.90 | $42.66 | $42.66 |
Where Arizona sits
The same service costs 2.6 times more in Alaska 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
$42.66
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.