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 $11.48 Median $30.90 Typical High $77.62 | Facility | None | $11.48 | $30.90 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $13.18 | Professional | None | $10.00 | $10.00 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.51 Median $38.90 Typical High $58.88 | Facility | None | $8.51 | $38.90 | $58.88 |
BCBS Arizona Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $18.20 | Professional | None | $7.94 | $12.59 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $29.51 Typical High $41.69 | Facility | None | $10.96 | $29.51 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $22.91 | Professional | None | $10.23 | $13.49 | $22.91 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $144.54 | Facility | None | $10.96 | $15.14 | $144.54 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $10.00 | Professional | None | $6.31 | $8.91 | $10.00 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $15.85 | Professional | None | $6.31 | $8.91 | $15.85 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 90 · Outside lab | $9.77 | $9.77 | $9.77 |
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· 38th of 51
$12.59
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.