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 $25.70 Median $54.95 Typical High $199.53 | Facility | None | $25.70 | $54.95 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $50.12 | Professional | None | $25.70 | $25.70 | $50.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $28.18 Median $128.82 Typical High $194.98 | Facility | None | $28.18 | $128.82 | $194.98 |
BCBS Arizona Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $60.26 | Professional | None | $26.30 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $75.86 Typical High $107.15 | Facility | None | $27.54 | $75.86 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $58.88 | Professional | None | $25.70 | $34.67 | $58.88 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $181.97 | Facility | None | $28.18 | $38.90 | $181.97 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $50.12 | Professional | None | $16.22 | $22.39 | $50.12 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $33.11 | Professional | None | $16.22 | $22.39 | $33.11 |
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 $12.88 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 90 · Outside lab | $25.12 | $26.92 | $26.92 |
Where Arizona sits
The same service costs 3.6 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· 38th of 51
$35.48
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.