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 $3.98 Median $10.47 Typical High $26.92 | Facility | None | $3.98 | $10.47 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.37 | Professional | None | $3.47 | $3.47 | $4.37 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.31 Median $14.79 Typical High $22.39 | Facility | None | $3.31 | $14.79 | $22.39 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.09 Median $4.90 Typical High $7.08 | Professional | None | $3.09 | $4.90 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $10.23 Typical High $14.45 | Facility | None | $3.72 | $10.23 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $7.76 | Professional | None | $3.47 | $4.68 | $7.76 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $63.10 | Facility | None | $3.47 | $5.13 | $63.10 |
Medica Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $4.79 | Professional | None | $2.19 | $3.02 | $4.79 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $7.08 | Professional | None | $2.19 | $3.02 | $7.08 |
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 $1.74 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.69 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 90 · Outside lab | $3.39 | $3.39 | $3.39 |
Where Arizona sits
The same service costs 4.3 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· 35th of 51
$4.68
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.