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 $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.25 Median $12.30 Typical High $32.36 | Facility | None | $5.25 | $12.30 | $32.36 |
BCBS Arizona Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $43.65 | Professional | None | $28.84 | $34.67 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $53.70 | Professional | None | $34.67 | $38.02 | $53.70 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $95.50 | Facility | None | $38.02 | $41.69 | $95.50 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $46.77 Typical High $263.03 | Professional | None | $38.02 | $46.77 | $263.03 |
United Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $58.88 | Professional | None | $38.02 | $41.69 | $58.88 |
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 $19.05 Median $19.05 Typical High $19.50 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.76 |
Where Arizona sits
The same service costs 6.0 times more in Alaska 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· 43rd of 51
$38.02
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.