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 $9.77 Median $25.70 Typical High $66.07 | Facility | None | $9.77 | $25.70 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $11.22 | Professional | None | $8.51 | $8.51 | $11.22 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.24 Median $32.36 Typical High $48.98 | Facility | None | $7.24 | $32.36 | $48.98 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $15.49 | Professional | None | $6.76 | $10.72 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $25.12 Typical High $35.48 | Facility | None | $9.33 | $25.12 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $19.50 | Professional | None | $8.71 | $11.75 | $19.50 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $12.88 Typical High $100.00 | Facility | None | $9.33 | $12.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $10.23 | Professional | None | $5.37 | $7.41 | $10.23 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $17.78 | Professional | None | $5.37 | $7.59 | $17.78 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 90 · Outside lab | $8.32 | $8.32 | $8.32 |
Where Arizona sits
The same service costs 3.2 times more in Kansas than in Georgia. 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
$10.72
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.