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 $194.98 Median $194.98 Typical High $208.93 | Professional | None | $194.98 | $194.98 | $208.93 |
BCBS Arizona Setting Facility Modifier None Typical Low $83.18 Median $199.53 Typical High $524.81 | Facility | None | $83.18 | $199.53 | $524.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $165.96 | Professional | None | $83.18 | $83.18 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $24,547.09 | Facility | None | $1,479.11 | $2,089.30 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $389.05 | Professional | None | $213.80 | $213.80 | $389.05 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $977.24 | Facility | None | $204.17 | $275.42 | $977.24 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $2,818.38 | Professional | None | $208.93 | $275.42 | $2,818.38 |
United Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $380.19 | Professional | None | $199.53 | $239.88 | $380.19 |
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 $97.72 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $38.90 | $41.69 |
Where Arizona sits
The same service costs 67.6 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
$224
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.