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 $1.91 Median $2.09 Typical High $2.19 | Facility | None | $1.91 | $2.09 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $1.55 Median $1.78 Typical High $2.09 | Professional | None | $1.55 | $1.78 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 52 · Reduced service | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.42 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.00 Median $6.92 Typical High $13.49 | Facility | None | $2.00 | $6.92 | $13.49 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $2.14 | Professional | None | $1.45 | $1.45 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Medica Setting Facility Modifier None Typical Low $2.09 Median $2.24 Typical High $4.27 | Facility | None | $2.09 | $2.24 | $4.27 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $2.34 Typical High $13.18 | Professional | None | $2.00 | $2.34 | $13.18 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.34 Typical High $2.75 | Professional | None | $1.91 | $2.34 | $2.75 |
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 $2.09 Median $2.09 Typical High $2.09 | Professional | AF · Specialist physician | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | HO · Master's level | $1.55 | $1.55 | $1.55 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | TD · Registered nurse | $1.78 | $1.78 | $1.78 |
Where Arizona sits
The same service costs 2.2 times more in North Dakota 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· 42nd of 51
$2.00
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.