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 $11.22 Median $46.77 Typical High $74.13 | Facility | None | $11.22 | $46.77 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $15.14 | Professional | None | $9.77 | $9.77 | $15.14 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.13 Median $37.15 Typical High $56.23 | Facility | None | $8.13 | $37.15 | $56.23 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $17.38 | Professional | None | $7.59 | $12.30 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $28.18 Typical High $40.74 | Facility | None | $10.00 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $22.39 | Professional | None | $8.71 | $12.88 | $22.39 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $14.45 Typical High $100.00 | Facility | None | $10.72 | $14.45 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $11.48 | Professional | None | $6.03 | $7.59 | $11.48 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $17.78 | Professional | None | $6.03 | $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 $4.79 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 $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
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 3.2 times more in Alaska than in New Jersey. 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· 39th of 51
$11.75
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.