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 $8.51 Median $10.47 Typical High $13.18 | Facility | None | $8.51 | $10.47 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $15.14 | Professional | None | $8.51 | $10.47 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $18.62 | Professional | None | $9.55 | $13.49 | $18.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $11.75 Median $46.77 Typical High $81.28 | Facility | None | $11.75 | $46.77 | $81.28 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $15.14 | Professional | None | $9.12 | $11.75 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $16.60 | Professional | None | $9.33 | $11.75 | $16.60 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $11.48 Typical High $138.04 | Facility | None | $8.51 | $11.48 | $138.04 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $199.53 | Professional | None | $12.02 | $15.49 | $199.53 |
United Setting Professional Modifier None Typical Low $10.47 Median $12.30 Typical High $15.85 | Professional | None | $10.47 | $12.30 | $15.85 |
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 25 · Same-day visit Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | 25 · Same-day visit | $10.96 | $12.02 | $15.85 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 46th of 51
$12.02
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.