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 $83.18 Median $104.71 Typical High $138.04 | Facility | None | $83.18 | $104.71 | $138.04 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $61.66 | Facility | 52 · Reduced service | $48.98 | $57.54 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $24.55 | Facility | 53 · Discontinued | $19.50 | $22.91 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $117.49 | Professional | None | $74.13 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None | $109.65 | $109.65 | $125.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $102.33 Median $363.08 Typical High $707.95 | Facility | None | $102.33 | $363.08 | $707.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $114.82 | Professional | None | $64.57 | $79.43 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $141.25 | Professional | None | $91.20 | $134.90 | $141.25 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $169.82 | Facility | None | $97.72 | $117.49 | $169.82 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $660.69 Typical High $812.83 | Professional | None | $128.82 | $660.69 | $812.83 |
United Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $162.18 | Professional | None | $100.00 | $128.82 | $162.18 |
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 $97.72 Median $114.82 Typical High $117.49 | Facility | AF · Specialist physician | $97.72 | $114.82 | $117.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $74.13 Median $85.11 Typical High $89.13 | Facility | HO · Master's level | $74.13 | $85.11 | $89.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $83.18 Median $97.72 Typical High $100.00 | Facility | TD · Registered nurse | $83.18 | $97.72 | $100.00 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | AF · Specialist physician | $97.72 | $117.49 | $117.49 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | HO · Master's level | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | TD · Registered nurse | $83.18 | $100.00 | $100.00 |
Where Arizona sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 50th of 51
$97.72
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.