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 $10.23 Median $42.66 Typical High $69.18 | Facility | None | $10.23 | $42.66 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $9.77 | Professional | None | $8.91 | $8.91 | $9.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.41 Median $33.88 Typical High $51.29 | Facility | None | $7.41 | $33.88 | $51.29 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.92 Median $11.22 Typical High $15.85 | Professional | None | $6.92 | $11.22 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $25.70 Typical High $37.15 | Facility | None | $8.71 | $25.70 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $19.95 | Professional | None | $8.32 | $12.02 | $19.95 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $12.59 Typical High $63.10 | Facility | None | $8.91 | $12.59 | $63.10 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $11.75 | Professional | None | $5.62 | $7.59 | $11.75 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $14.45 | Professional | None | $5.62 | $7.59 | $14.45 |
3 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 $4.47 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 53 · Discontinued | $1.78 | $1.78 | $1.78 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 90 · Outside lab | $8.71 | $8.71 | $8.71 |
Where Arizona sits
The same service costs 3.4 times more in Alaska 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· 48th of 51
$10.47
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.