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 $0.02 Median $0.07 Typical High $0.08 | Facility | None | $0.02 | $0.07 | $0.08 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.96 Median $50.12 Typical High $75.86 | Facility | None | $10.96 | $50.12 | $75.86 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $23.44 | Professional | None | $10.23 | $16.22 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | None | $22.91 | $22.91 | $28.18 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $50.12 | Facility | None | $15.14 | $15.14 | $50.12 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
1 more rate 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 90 · Outside lab Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 90 · Outside lab | $10.47 | $10.47 | $10.47 |
Where Arizona sits
The same service costs 3981.1 times more in Montana than in Tennessee. 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· 10th of 51
$29.51
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.