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 $21.88 Median $46.77 Typical High $169.82 | Facility | None | $21.88 | $46.77 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | None | $21.88 | $21.88 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $83.18 Typical High $125.89 | Facility | None | $18.62 | $83.18 | $125.89 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $38.90 | Professional | None | $17.38 | $27.54 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $64.57 Typical High $91.20 | Facility | None | $27.54 | $64.57 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $28.18 Typical High $50.12 | Professional | None | $15.14 | $28.18 | $50.12 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $31.62 Typical High $154.88 | Facility | None | $21.88 | $31.62 | $154.88 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | None | $13.80 | $13.80 | $19.50 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $29.51 | Professional | None | $13.80 | $13.80 | $29.51 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | QW · Waived lab test | $21.38 | $21.38 | $21.38 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 28th of 51
$27.54
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.