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 $18.20 Median $75.86 Typical High $123.03 | Facility | None | $18.20 | $75.86 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
BCBS Arizona Setting Facility Modifier None Typical Low $13.18 Median $60.26 Typical High $91.20 | Facility | None | $13.18 | $60.26 | $91.20 |
BCBS Arizona Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $28.18 | Professional | None | $12.30 | $19.95 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $46.77 Typical High $66.07 | Facility | None | $14.45 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $21.38 Typical High $36.31 | Professional | None | $10.96 | $21.38 | $36.31 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $316.23 | Facility | None | $15.85 | $23.44 | $316.23 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $17.78 | Professional | None | $9.55 | $10.00 | $17.78 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $22.39 | Professional | None | $9.33 | $10.00 | $22.39 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.16 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 90 · Outside lab | $15.49 | $15.49 | $15.49 |
Where Arizona sits
The same service costs 3.5 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· 42nd of 51
$18.20
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.