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 $30.20 Median $30.20 Typical High $38.02 | Professional | None | $30.20 | $30.20 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $389.05 Typical High $588.84 | Facility | None | $85.11 | $389.05 | $588.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $104.71 | Professional | None | $64.57 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $63.10 | Facility | None | $44.67 | $60.26 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $70.79 | Professional | None | $44.67 | $60.26 | $70.79 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $269.15 Typical High $269.15 | Facility | None | $30.20 | $269.15 | $269.15 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $85.11 | Professional | None | $30.20 | $39.81 | $85.11 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | None | $51.29 | $51.29 | $75.86 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Arizona sits
The same service costs 6.6 times more in Louisiana than in Wyoming. 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· 4th of 51
$85.11
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.