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 $23.44 Median $31.62 Typical High $40.74 | Facility | None | $23.44 | $31.62 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $36.31 | Professional | None | $23.44 | $26.92 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | None | $33.11 | $33.11 | $36.31 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $128.82 Typical High $251.19 | Facility | None | $36.31 | $128.82 | $251.19 |
BCBS Arizona Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $34.67 | Professional | None | $23.99 | $23.99 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | None | $23.99 | $38.90 | $38.90 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $69.18 | Facility | None | $31.62 | $34.67 | $69.18 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $218.78 | Professional | None | $33.88 | $38.90 | $218.78 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | None | $33.88 | $33.88 | $47.86 |
3 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 AF · Specialist physician Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | AF · Specialist physician | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HO · Master's level | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TD · Registered nurse | $26.92 | $26.92 | $26.92 |
Where Arizona sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 46th of 51
$31.62
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.