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 $20.42 Median $85.11 Typical High $138.04 | Facility | None | $20.42 | $85.11 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | None | $17.78 | $17.78 | $22.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $17.78 Median $77.62 Typical High $114.82 | Facility | None | $17.78 | $77.62 | $114.82 |
BCBS Arizona Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $39.81 | Professional | None | $25.12 | $26.30 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $52.48 Typical High $74.13 | Facility | None | $22.91 | $52.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $51.29 | Facility | None | $17.78 | $19.50 | $51.29 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $186.21 | Professional | None | $11.22 | $15.85 | $186.21 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | None | $11.22 | $11.22 | $16.22 |
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 $8.91 Median $8.91 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.37 |
Where Arizona sits
The same service costs 5.6 times more in Alaska than in Delaware. 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· 38th of 51
$25.12
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.