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 $14.45 Median $60.26 Typical High $97.72 | Facility | None | $14.45 | $60.26 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $13.80 | Professional | None | $12.30 | $12.59 | $13.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.72 Median $47.86 Typical High $72.44 | Facility | None | $10.72 | $47.86 | $72.44 |
BCBS Arizona Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $22.39 | Professional | None | $10.00 | $15.85 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $37.15 Typical High $52.48 | Facility | None | $11.48 | $37.15 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $28.18 | Professional | None | $8.91 | $16.98 | $28.18 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $16.98 Typical High $100.00 | Facility | None | $9.33 | $16.98 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $15.85 | Professional | None | $7.59 | $7.94 | $15.85 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $18.20 | Professional | None | $7.59 | $7.94 | $18.20 |
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 $6.31 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 90 · Outside lab | $11.75 | $11.75 | $12.30 |
Where Arizona sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 46th of 51
$13.80
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.