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 $1.38 Median $2.57 Typical High $2.57 | Professional | None | $1.38 | $2.57 | $2.57 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.15 Median $5.25 Typical High $7.94 | Facility | None | $1.15 | $5.25 | $7.94 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.88 Median $3.89 Typical High $5.01 | Professional | None | $2.88 | $3.89 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Medica Setting Facility Modifier None Typical Low $2.57 Median $8.71 Typical High $89.13 | Facility | None | $2.57 | $8.71 | $89.13 |
Medica Setting Professional Modifier None Typical Low $1.70 Median $3.02 Typical High $44.67 | Professional | None | $1.70 | $3.02 | $44.67 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.82 Typical High $3.02 | Professional | None | $1.66 | $1.82 | $3.02 |
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 KX · Policy requirements met Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | KX · Policy requirements met | $3.80 | $3.80 | $3.80 |
Where Arizona sits
The same service costs 2.6 times more in Hawaii than in California. 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· 31st of 51
$2.57
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.