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 $12.59 Median $52.48 Typical High $83.18 | Facility | None | $12.59 | $52.48 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $9.12 Median $41.69 Typical High $63.10 | Facility | None | $9.12 | $41.69 | $63.10 |
BCBS Arizona Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $19.50 | Professional | None | $8.51 | $13.80 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $31.62 Typical High $45.71 | Facility | None | $11.22 | $31.62 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $24.55 | Professional | None | $8.91 | $14.45 | $24.55 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $77.62 | Facility | None | $10.96 | $16.22 | $77.62 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $10.72 | Professional | None | $6.76 | $7.59 | $10.72 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.76 Typical High $18.20 | Professional | None | $6.76 | $7.76 | $18.20 |
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 $5.37 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.19 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 90 · Outside lab | $10.23 | $10.23 | $10.23 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in New York. 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· 37th of 51
$12.88
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.