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 $1.86 Median $1.95 Typical High $1.95 | Professional | None | $1.86 | $1.95 | $1.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.76 Median $3.24 Typical High $4.79 | Facility | None | $0.76 | $3.24 | $4.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $3.24 | Professional | None | $1.35 | $1.35 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $3.16 Typical High $3.39 | Facility | None | $2.24 | $3.16 | $3.39 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $2.09 Typical High $6.92 | Facility | None | $1.74 | $2.09 | $6.92 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $12.02 | Professional | None | $1.74 | $1.74 | $12.02 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.91 | Professional | None | $1.78 | $1.78 | $1.91 |
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 GC · Resident with teaching physician Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | GC · Resident with teaching physician | $1.78 | $1.78 | $1.78 |
Where Arizona sits
The same service costs 3.0 times more in Wyoming 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· 17th of 51
$1.95
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.