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 $13.80 Median $29.51 Typical High $30.20 | Facility | None | $13.80 | $29.51 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $29.51 Typical High $29.51 | Professional | None | $15.14 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $28.18 Typical High $44.67 | Professional | None | $10.00 | $28.18 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.38 Median $74.13 Typical High $144.54 | Facility | None | $21.38 | $74.13 | $144.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $23.44 | Professional | None | $15.85 | $15.85 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $100.00 | Facility | None | $29.51 | $29.51 | $100.00 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $34.67 | Professional | None | $15.14 | $15.14 | $34.67 |
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 HQ · Group setting Typical Low $9.33 Median $11.22 Typical High $42.66 | Professional | HQ · Group setting | $9.33 | $11.22 | $42.66 |
Ambetter Setting Professional Modifier HS · Family, patient absent Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | HS · Family, patient absent | $36.31 | $36.31 | $39.81 |
Where Arizona sits
The same service costs 8.7 times more in Montana than in California. 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· 17th of 51
$25.12
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.