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 $8.71 Median $19.95 Typical High $66.07 | Facility | None | $8.71 | $19.95 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $16.98 | Professional | None | $8.71 | $8.71 | $16.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.24 Median $33.11 Typical High $50.12 | Facility | None | $7.24 | $33.11 | $50.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $6.76 Median $10.96 Typical High $15.49 | Professional | None | $6.76 | $10.96 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $25.12 Typical High $36.31 | Facility | None | $9.33 | $25.12 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $19.50 | Professional | None | $8.71 | $11.75 | $19.50 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $12.88 Typical High $177.83 | Facility | None | $9.55 | $12.88 | $177.83 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $10.23 | Professional | None | $5.37 | $7.41 | $10.23 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $17.78 | Professional | None | $5.37 | $7.59 | $17.78 |
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 $4.37 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.74 | $1.74 | $1.74 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $7.76 Median $8.32 Typical High $8.91 | Professional | 90 · Outside lab | $7.76 | $8.32 | $8.91 |
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
$10.96
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.