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 $35.48 Median $147.91 Typical High $239.88 | Facility | None | $35.48 | $147.91 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $64.57 | Professional | None | $20.42 | $24.55 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.13 Median $36.31 Typical High $54.95 | Facility | None | $8.13 | $36.31 | $54.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $16.98 | Professional | None | $7.59 | $12.02 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $91.20 Typical High $128.82 | Facility | None | $16.22 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $60.26 | Professional | None | $24.55 | $24.55 | $60.26 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $44.67 Typical High $218.78 | Facility | None | $30.90 | $44.67 | $218.78 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $25.70 | Professional | None | $8.13 | $19.50 | $25.70 |
United Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $27.54 | Professional | None | $8.13 | $19.50 | $27.54 |
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 $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Where Arizona sits
The same service costs 4.9 times more in Alaska 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· 46th 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.