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 $21.38 Median $89.13 Typical High $144.54 | Facility | None | $21.38 | $89.13 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | None | $18.62 | $18.62 | $23.99 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $70.79 Typical High $107.15 | Facility | None | $15.85 | $70.79 | $107.15 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $33.88 | Professional | None | $14.79 | $23.44 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $54.95 Typical High $77.62 | Facility | None | $18.20 | $54.95 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $42.66 | Professional | None | $13.18 | $23.99 | $42.66 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $26.92 Typical High $131.83 | Facility | None | $18.62 | $26.92 | $131.83 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $25.12 | Professional | None | $11.75 | $11.75 | $25.12 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $25.12 | Professional | None | $11.75 | $11.75 | $25.12 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | 90 · Outside lab | $17.38 | $17.38 | $18.20 |
Where Arizona sits
The same service costs 3.8 times more in Alaska 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· 34th of 51
$22.39
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.