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 $18.62 Median $77.62 Typical High $125.89 | Facility | None | $18.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | None | $16.22 | $16.22 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | None | $15.49 | $16.60 | $16.60 |
BCBS Arizona Setting Facility Modifier None Typical Low $13.49 Median $61.66 Typical High $93.33 | Facility | None | $13.49 | $61.66 | $93.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $28.84 | Professional | None | $12.59 | $20.42 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $46.77 Typical High $67.61 | Facility | None | $16.60 | $46.77 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | None | $12.88 | $12.88 | $31.62 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $114.82 | Facility | None | $17.38 | $22.91 | $114.82 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $16.98 | Professional | None | $10.00 | $13.80 | $16.98 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $26.30 | Professional | None | $10.00 | $13.80 | $26.30 |
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 $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Where Arizona sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 42nd of 51
$18.20
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.