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 $12.02 Median $25.70 Typical High $93.33 | Facility | None | $12.02 | $25.70 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | None | $12.02 | $12.02 | $15.14 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.23 Median $45.71 Typical High $69.18 | Facility | None | $10.23 | $45.71 | $69.18 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $21.38 | Professional | None | $9.55 | $15.14 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $35.48 Typical High $50.12 | Facility | None | $12.88 | $35.48 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $27.54 | Professional | None | $12.02 | $16.22 | $27.54 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $17.78 Typical High $87.10 | Facility | None | $13.18 | $17.78 | $87.10 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $14.45 | Professional | None | $7.59 | $10.47 | $14.45 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $24.55 | Professional | None | $7.59 | $10.47 | $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 $6.03 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.40 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 90 · Outside lab | $12.59 | $12.59 | $12.59 |
Where Arizona sits
The same service costs 6.2 times more in Kansas than in Alabama. 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· 33rd of 51
$15.14
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.