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 $24.55 Median $24.55 Typical High $26.92 | Facility | None | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | None | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 52 · Reduced service | $12.30 | $12.30 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $33.11 | Professional | None | $25.12 | $28.18 | $33.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.39 Median $79.43 Typical High $154.88 | Facility | None | $22.39 | $79.43 | $154.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $32.36 | Professional | None | $17.38 | $22.39 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $38.02 | Facility | None | $24.55 | $26.92 | $38.02 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $154.88 Typical High $165.96 | Professional | None | $24.55 | $154.88 | $165.96 |
United Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $38.90 | Professional | None | $21.38 | $25.12 | $38.90 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.92 Median $30.20 Typical High $33.11 | Professional | 59 · Distinct service | $26.92 | $30.20 | $33.11 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | XS · Separate structure | $35.48 | $35.48 | $35.48 |
Where Arizona sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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· 37th of 51
$24.55
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.