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 $17.78 Median $53.70 Typical High $138.04 | Facility | None | $17.78 | $53.70 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.14 Median $67.61 Typical High $102.33 | Facility | None | $15.14 | $67.61 | $102.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $32.36 | Professional | None | $14.13 | $22.39 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $52.48 Typical High $74.13 | Facility | None | $15.49 | $52.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $23.99 Typical High $40.74 | Professional | None | $12.02 | $23.99 | $40.74 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $26.30 Typical High $151.36 | Facility | None | $17.78 | $26.30 | $151.36 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $19.05 | Professional | None | $10.23 | $11.22 | $19.05 |
United Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $24.55 | Professional | None | $10.23 | $11.22 | $24.55 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | 90 · Outside lab | $16.60 | $16.60 | $17.38 |
Where Arizona sits
The same service costs 3.8 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· 36th of 51
$20.42
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.