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 $42.66 Typical High $141.25 | Facility | None | $18.20 | $42.66 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $32.36 | Professional | None | $18.20 | $18.20 | $32.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.49 Median $69.18 Typical High $104.71 | Facility | None | $15.49 | $69.18 | $104.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $32.36 | Professional | None | $14.45 | $22.91 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $53.70 Typical High $75.86 | Facility | None | $16.98 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $41.69 | Professional | None | $17.78 | $24.55 | $41.69 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $26.92 Typical High $128.82 | Facility | None | $18.20 | $26.92 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $16.22 | Professional | None | $11.48 | $11.75 | $16.22 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $24.55 | Professional | None | $11.48 | $11.75 | $24.55 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 90 · Outside lab | $17.78 | $17.78 | $17.78 |
Where Arizona sits
The same service costs 4.9 times more in Minnesota 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· 44th of 51
$21.88
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.