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 $7.76 Median $32.36 Typical High $52.48 | Facility | None | $7.76 | $32.36 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.71 | Professional | None | $6.76 | $6.76 | $8.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.41 Median $33.88 Typical High $51.29 | Facility | None | $7.41 | $33.88 | $51.29 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.92 Median $11.22 Typical High $15.85 | Professional | None | $6.92 | $11.22 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $19.95 Typical High $28.18 | Facility | None | $7.41 | $19.95 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $15.49 | Professional | None | $6.76 | $9.12 | $15.49 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $10.23 Typical High $72.44 | Facility | None | $7.59 | $10.23 | $72.44 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $14.13 | Professional | None | $4.27 | $6.03 | $14.13 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $12.59 | Professional | None | $4.27 | $6.03 | $12.59 |
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 $3.39 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 90 · Outside lab | $6.61 | $6.61 | $6.61 |
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
$8.91
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.