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 $3.80 Median $15.85 Typical High $25.70 | Facility | None | $3.80 | $15.85 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.00 Median $45.71 Typical High $69.18 | Facility | None | $10.00 | $45.71 | $69.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $26.92 | Professional | None | $9.33 | $15.14 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $7.08 | Professional | None | $5.25 | $5.62 | $7.08 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $4.79 Typical High $89.13 | Facility | None | $3.31 | $4.79 | $89.13 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.95 | Professional | None | $2.09 | $2.57 | $2.95 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.95 | Professional | None | $2.09 | $2.57 | $2.95 |
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 $1.66 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.66 | $0.66 | $0.66 |
Where Arizona sits
The same service costs 6.2 times more in Alabama 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· 11th of 51
$5.89
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.