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 $5.37 Median $22.39 Typical High $36.31 | Facility | None | $5.37 | $22.39 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $4.68 Typical High $7.59 | Professional | None | $3.09 | $4.68 | $7.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.98 Median $17.78 Typical High $26.92 | Facility | None | $3.98 | $17.78 | $26.92 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.72 Median $5.89 Typical High $8.32 | Professional | None | $3.72 | $5.89 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $13.80 Typical High $19.50 | Facility | None | $2.04 | $13.80 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $6.31 Typical High $10.96 | Professional | None | $1.66 | $6.31 | $10.96 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $5.89 Typical High $60.26 | Facility | None | $3.47 | $5.89 | $60.26 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.45 Typical High $4.17 | Professional | None | $1.95 | $2.45 | $4.17 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $6.31 | Professional | None | $1.95 | $3.31 | $6.31 |
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 $2.34 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 90 · Outside lab | $2.95 | $2.95 | $2.95 |
Where Arizona sits
The same service costs 5.4 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· 43rd of 51
$4.90
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.