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 $6.76 Median $7.41 Typical High $7.41 | Professional | None | $6.76 | $7.41 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.98 Median $18.20 Typical High $27.54 | Facility | None | $3.98 | $18.20 | $27.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $5.62 Median $9.12 Typical High $12.88 | Professional | None | $5.62 | $9.12 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $20.89 Typical High $26.30 | Facility | None | $4.17 | $20.89 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $9.12 Typical High $75.86 | Facility | None | $6.31 | $9.12 | $75.86 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $5.01 | Professional | None | $2.09 | $2.09 | $5.01 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $5.01 | Professional | None | $2.09 | $2.09 | $5.01 |
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 $3.72 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.48 |
Where Arizona sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 18th of 51
$7.41
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.