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 $23.99 Typical High $79.43 | Facility | None | $12.02 | $23.99 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | None | $10.47 | $10.47 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $8.71 Median $39.81 Typical High $60.26 | Facility | None | $8.71 | $39.81 | $60.26 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.13 Median $13.18 Typical High $18.62 | Professional | None | $8.13 | $13.18 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $30.20 Typical High $43.65 | Facility | None | $11.22 | $30.20 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.80 Typical High $23.99 | Professional | None | $10.47 | $13.80 | $23.99 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $173.78 | Facility | None | $11.48 | $15.49 | $173.78 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $14.13 | Professional | None | $6.46 | $9.12 | $14.13 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $21.38 | Professional | None | $6.46 | $9.12 | $21.38 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.09 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 90 · Outside lab | $10.00 | $10.00 | $10.00 |
Where Arizona sits
The same service costs 4.2 times more in Kansas 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· 39th of 51
$13.18
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.