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 $2.57 Median $7.76 Typical High $19.95 | Facility | None | $2.57 | $7.76 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $5.13 | Professional | None | $2.57 | $2.57 | $5.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $2.40 Median $10.96 Typical High $16.60 | Facility | None | $2.40 | $10.96 | $16.60 |
BCBS Arizona Setting Professional Modifier None Typical Low $2.29 Median $3.63 Typical High $5.25 | Professional | None | $2.29 | $3.63 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $7.59 Typical High $10.72 | Facility | None | $2.75 | $7.59 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $5.62 | Professional | None | $2.51 | $3.47 | $5.62 |
Medica Setting Facility Modifier None Typical Low $2.82 Median $4.17 Typical High $85.11 | Facility | None | $2.82 | $4.17 | $85.11 |
Medica Setting Professional Modifier None Typical Low $1.62 Median $2.24 Typical High $3.55 | Professional | None | $1.62 | $2.24 | $3.55 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.24 Typical High $5.25 | Professional | None | $1.62 | $2.24 | $5.25 |
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 $1.29 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.51 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 90 · Outside lab | $2.51 | $2.51 | $2.51 |
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· 35th of 51
$3.55
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.