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 $57.54 Median $57.54 Typical High $63.10 | Facility | None | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $85.11 | Professional | None | $57.54 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $28.84 | $31.62 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $70.79 | Professional | None | $50.12 | $61.66 | $70.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $38.02 Median $154.88 Typical High $263.03 | Facility | None | $38.02 | $154.88 | $263.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $79.43 | Professional | None | $51.29 | $64.57 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $107.15 | Professional | None | $60.26 | $66.07 | $107.15 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $338.84 | Facility | None | $57.54 | $70.79 | $338.84 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $478.63 Typical High $524.81 | Professional | None | $79.43 | $478.63 | $524.81 |
United Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $100.00 | Professional | None | $69.18 | $79.43 | $100.00 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $52.48 Median $61.66 Typical High $85.11 | Professional | 25 · Same-day visit | $52.48 | $61.66 | $85.11 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $64.57 Median $69.18 Typical High $81.28 | Professional | 33 · Preventive service | $64.57 | $69.18 | $81.28 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FS · Shared visit | $83.18 | $83.18 | $83.18 |
Where Arizona sits
The same service costs 2.8 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· 41st of 51
$72.44
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.