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 $9.55 Median $19.95 Typical High $72.44 | Facility | None | $9.55 | $19.95 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $19.05 | Professional | None | $9.55 | $9.55 | $19.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.94 Median $36.31 Typical High $54.95 | Facility | None | $7.94 | $36.31 | $54.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $16.98 | Professional | None | $7.41 | $12.02 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $27.54 Typical High $39.81 | Facility | None | $10.23 | $27.54 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $16.60 | Professional | None | $7.94 | $10.00 | $16.60 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $204.17 | Facility | None | $10.47 | $14.13 | $204.17 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $11.22 | Professional | None | $5.89 | $8.13 | $11.22 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $19.50 | Professional | None | $5.89 | $8.32 | $19.50 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 90 · Outside lab | $9.77 | $9.77 | $9.77 |
Where Arizona sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 39th of 51
$12.02
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.