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 $47.86 Median $199.53 Typical High $316.23 | Facility | None | $47.86 | $199.53 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | None | $39.81 | $41.69 | $41.69 |
BCBS Arizona Setting Facility Modifier None Typical Low $34.67 Median $158.49 Typical High $239.88 | Facility | None | $34.67 | $158.49 | $239.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $74.13 | Professional | None | $32.36 | $51.29 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $120.23 Typical High $173.78 | Facility | None | $29.51 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $54.95 Typical High $93.33 | Professional | None | $22.91 | $54.95 | $93.33 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $295.12 | Facility | None | $41.69 | $52.48 | $295.12 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $37.15 | Professional | None | $19.50 | $25.70 | $37.15 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $37.15 | Professional | None | $19.50 | $25.70 | $37.15 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 90 · Outside lab | $39.81 | $39.81 | $39.81 |
Where Arizona sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 40th of 51
$44.67
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.