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 $21.38 Median $21.38 Typical High $42.66 | Facility | None | $21.38 | $21.38 | $42.66 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.72 Median $13.18 Typical High $19.95 | Facility | 52 · Reduced service | $10.72 | $13.18 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $5.25 Typical High $7.94 | Facility | 53 · Discontinued | $4.27 | $5.25 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $28.84 Typical High $38.90 | Professional | None | $16.22 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $16.98 Typical High $19.05 | Professional | 52 · Reduced service | $10.72 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.27 | $6.76 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | None | $36.31 | $38.90 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $23.44 Median $83.18 Typical High $162.18 | Facility | None | $23.44 | $83.18 | $162.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $40.74 | Professional | None | $13.80 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | None | $30.20 | $47.86 | $47.86 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $54.95 | Facility | None | $21.38 | $38.90 | $54.95 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $147.91 Typical High $275.42 | Professional | None | $42.66 | $147.91 | $275.42 |
United Setting Professional Modifier None Typical Low $22.91 Median $42.66 Typical High $53.70 | Professional | None | $22.91 | $42.66 | $53.70 |
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 $21.38 Median $26.30 Typical High $38.90 | Facility | AF · Specialist physician | $21.38 | $26.30 | $38.90 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $16.22 Median $19.95 Typical High $28.84 | Facility | HO · Master's level | $16.22 | $19.95 | $28.84 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $18.20 Median $22.39 Typical High $32.36 | Facility | TD · Registered nurse | $18.20 | $22.39 | $32.36 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $21.38 Median $26.92 Typical High $38.90 | Professional | AF · Specialist physician | $21.38 | $26.92 | $38.90 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $16.22 Median $19.95 Typical High $28.84 | Professional | HO · Master's level | $16.22 | $19.95 | $28.84 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $18.20 Median $22.91 Typical High $32.36 | Professional | TD · Registered nurse | $18.20 | $22.91 | $32.36 |
Where Arizona sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 48th of 51
$28.84
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.