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 $4.90 Median $9.12 Typical High $33.88 | Facility | None | $4.90 | $9.12 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $7.59 | Professional | None | $4.37 | $4.37 | $7.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.63 Median $16.60 Typical High $25.12 | Facility | None | $3.63 | $16.60 | $25.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.39 Median $5.50 Typical High $7.76 | Professional | None | $3.39 | $5.50 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $12.59 Typical High $18.20 | Facility | None | $4.68 | $12.59 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $9.77 | Professional | None | $4.37 | $6.03 | $9.77 |
Medica Setting Facility Modifier None Typical Low $4.79 Median $6.46 Typical High $100.00 | Facility | None | $4.79 | $6.46 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.69 Median $3.72 Typical High $3.98 | Professional | None | $2.69 | $3.72 | $3.98 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $7.59 | Professional | None | $2.69 | $3.80 | $7.59 |
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 $2.19 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 90 · Outside lab | $4.17 | $4.17 | $4.17 |
Where Arizona sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$5.50
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.