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 $19.05 Median $81.28 Typical High $128.82 | Facility | None | $19.05 | $81.28 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $72.44 Typical High $109.65 | Facility | None | $15.85 | $72.44 | $109.65 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.79 Median $23.99 Typical High $33.88 | Professional | None | $14.79 | $23.99 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $48.98 Typical High $69.18 | Facility | None | $8.51 | $48.98 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $32.36 | Professional | None | $14.79 | $14.79 | $32.36 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $117.49 | Facility | None | $15.14 | $20.89 | $117.49 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $15.14 | Professional | None | $8.13 | $13.80 | $15.14 |
United Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $22.39 | Professional | None | $8.13 | $13.80 | $22.39 |
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 $8.32 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Where Arizona sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 31st of 51
$17.78
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.