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 $14.13 Median $58.88 Typical High $95.50 | Facility | None | $14.13 | $58.88 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | None | $12.30 | $12.30 | $15.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.23 Median $46.77 Typical High $70.79 | Facility | None | $10.23 | $46.77 | $70.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $21.88 | Professional | None | $9.55 | $15.49 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $35.48 Typical High $51.29 | Facility | None | $13.18 | $35.48 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $28.18 | Professional | None | $12.30 | $16.22 | $28.18 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $18.20 Typical High $190.55 | Facility | None | $13.49 | $18.20 | $190.55 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $11.22 | Professional | None | $7.76 | $10.47 | $11.22 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $25.12 | Professional | None | $7.76 | $10.72 | $25.12 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 90 · Outside lab | $11.75 | $11.75 | $11.75 |
Where Arizona sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 40th of 51
$15.49
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.