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 $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.47 Median $24.55 Typical High $64.57 | Facility | None | $10.47 | $24.55 | $64.57 |
BCBS Arizona Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | None | $89.13 | $107.15 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $162.18 | Professional | None | $107.15 | $117.49 | $162.18 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $251.19 | Facility | None | $112.20 | $123.03 | $251.19 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $831.76 | Professional | None | $93.33 | $125.89 | $831.76 |
United Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $162.18 | Professional | None | $93.33 | $114.82 | $162.18 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Arizona sits
The same service costs 21.4 times more in Alaska than in New York. 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· 40th of 51
$112
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.