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 $10.96 Median $28.84 Typical High $74.13 | Facility | None | $10.96 | $28.84 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $13.49 | Professional | None | $9.55 | $9.55 | $13.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.13 Median $36.31 Typical High $54.95 | Facility | None | $8.13 | $36.31 | $54.95 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $16.98 | Professional | None | $7.59 | $12.02 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $28.18 Typical High $39.81 | Facility | None | $10.23 | $28.18 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $21.88 | Professional | None | $9.55 | $12.88 | $21.88 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $14.45 Typical High $107.15 | Facility | None | $10.47 | $14.45 | $107.15 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $15.85 | Professional | None | $6.03 | $8.32 | $15.85 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $19.50 | Professional | None | $6.03 | $8.32 | $19.50 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 90 · Outside lab | $9.33 | $9.33 | $9.33 |
Where Arizona sits
The same service costs 6.3 times more in Kansas 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· 38th of 51
$12.02
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.