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 $14.13 Median $58.88 Typical High $93.33 | Facility | None | $14.13 | $58.88 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | None | $12.30 | $12.30 | $12.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.59 Median $53.70 Typical High $81.28 | Facility | None | $12.59 | $53.70 | $81.28 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $27.54 | Professional | None | $17.78 | $18.20 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $35.48 Typical High $47.86 | Facility | None | $10.00 | $35.48 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $31.62 | Facility | None | $12.30 | $13.49 | $31.62 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $91.20 | Professional | None | $6.31 | $9.12 | $91.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $6.61 Typical High $9.12 | Professional | None | $6.31 | $6.61 | $9.12 |
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 $6.17 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.57 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.57 |
Where Arizona sits
The same service costs 6.6 times more in Texas 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· 26th of 51
$17.38
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.