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 $16.22 Median $18.62 Typical High $22.39 | Facility | None | $16.22 | $18.62 | $22.39 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $11.22 Typical High $12.02 | Facility | 52 · Reduced service | $10.96 | $11.22 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $30.20 | Professional | None | $16.22 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.22 Typical High $14.13 | Professional | 52 · Reduced service | $10.96 | $11.22 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $40.74 | Professional | None | $21.88 | $31.62 | $40.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $26.30 Median $104.71 Typical High $177.83 | Facility | None | $26.30 | $104.71 | $177.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $33.11 | Professional | None | $22.91 | $27.54 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $50.12 | Professional | None | $23.99 | $26.30 | $50.12 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $134.90 | Facility | None | $21.88 | $28.18 | $134.90 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $190.55 Typical High $194.98 | Professional | None | $30.90 | $190.55 | $194.98 |
United Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $40.74 | Professional | None | $28.84 | $32.36 | $40.74 |
6 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 Facility Modifier AF · Specialist physician Typical Low $21.88 Median $22.39 Typical High $23.99 | Facility | AF · Specialist physician | $21.88 | $22.39 | $23.99 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $16.22 Median $16.98 Typical High $18.20 | Facility | HO · Master's level | $16.22 | $16.98 | $18.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $18.62 Median $19.05 Typical High $20.42 | Facility | TD · Registered nurse | $18.62 | $19.05 | $20.42 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | AF · Specialist physician | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | HO · Master's level | $16.22 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | TD · Registered nurse | $18.62 | $19.05 | $19.05 |
Where Arizona sits
The same service costs 2.5 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· 44th of 51
$27.54
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.