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 $107.15 Median $165.96 Typical High $234.42 | Facility | None | $107.15 | $165.96 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | None | $70.79 | $70.79 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $87.10 | Professional | None | $52.48 | $66.07 | $87.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $72.44 Median $309.03 Typical High $467.74 | Facility | None | $72.44 | $309.03 | $467.74 |
BCBS Arizona Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $102.33 | Professional | None | $67.61 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $107.15 | Professional | None | $63.10 | $67.61 | $107.15 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $138.04 | Facility | None | $64.57 | $77.62 | $138.04 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $104.71 Typical High $489.78 | Professional | None | $63.10 | $104.71 | $489.78 |
United Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $97.72 | Professional | None | $58.88 | $70.79 | $97.72 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 59 · Distinct service | $56.23 | $58.88 | $58.88 |
Where Arizona sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 44th of 51
$70.79
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.