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 $7.41 Median $13.49 Typical High $16.98 | Professional | None | $7.41 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $5.62 Typical High $7.24 | Professional | 52 · Reduced service | $3.72 | $5.62 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $16.60 | Professional | None | $13.80 | $16.60 | $16.60 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.91 Median $35.48 Typical High $61.66 | Facility | None | $8.91 | $35.48 | $61.66 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $19.05 | Professional | None | $7.59 | $13.18 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $14.45 Typical High $50.12 | Facility | None | $7.41 | $14.45 | $50.12 |
Medica Setting Professional Modifier None Typical Low $16.98 Median $66.07 Typical High $114.82 | Professional | None | $16.98 | $66.07 | $114.82 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $20.42 | Professional | None | $8.71 | $15.14 | $20.42 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $13.80 Median $15.49 Typical High $18.20 | Professional | 59 · Distinct service | $13.80 | $15.49 | $18.20 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | XS · Separate structure | $19.05 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | XU · Unusual separate service | $15.49 | $15.49 | $15.49 |
Where Arizona sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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
$15.49
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.