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 $28.84 Median $60.26 Typical High $223.87 | Facility | None | $28.84 | $60.26 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | None | $28.84 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.46 |
BCBS Arizona Setting Facility Modifier None Typical Low $25.70 Median $109.65 Typical High $165.96 | Facility | None | $25.70 | $109.65 | $165.96 |
BCBS Arizona Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $64.57 | Professional | None | $36.31 | $37.15 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $83.18 Typical High $120.23 | Facility | None | $37.15 | $83.18 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $79.43 | Professional | None | $22.39 | $38.90 | $79.43 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $208.93 | Facility | None | $28.84 | $40.74 | $208.93 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $630.96 | Professional | None | $17.78 | $25.70 | $630.96 |
United Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $26.30 | Professional | None | $17.78 | $24.55 | $26.30 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 90 · Outside lab | $30.20 | $30.20 | $30.20 |
Where Arizona sits
The same service costs 4.2 times more in Vermont 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· 43rd of 51
$36.31
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.