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 Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $33.11 | Professional | None | $22.39 | $22.91 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $33.11 | Professional | None | $19.50 | $23.99 | $33.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.50 Median $45.71 Typical High $120.23 | Facility | None | $19.50 | $45.71 | $120.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | None | $17.38 | $20.42 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $30.90 | Professional | None | $18.20 | $21.88 | $30.90 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $114.82 | Facility | None | $22.39 | $25.12 | $114.82 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $154.88 | Professional | None | $18.20 | $22.91 | $154.88 |
United Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $28.84 | Professional | None | $17.78 | $20.42 | $28.84 |
2 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 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Where Arizona sits
The same service costs 2.8 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· 44th of 51
$22.91
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.