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 $588.84 Median $2,454.71 Typical High $3,981.07 | Facility | None | $588.84 | $2,454.71 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $416.87 | $512.86 | $724.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $436.52 Median $1,995.26 Typical High $3,019.95 | Facility | None | $436.52 | $1,995.26 | $3,019.95 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $407.38 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $407.38 | $645.65 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,513.56 Typical High $2,137.96 | Facility | None | $537.03 | $1,513.56 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $933.25 Typical High $1,174.90 | Professional | None (both parts) | $891.25 | $933.25 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $3,630.78 | Facility | None | $512.86 | $724.44 | $3,630.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $323.59 | $323.59 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $323.59 | $323.59 | $616.60 |
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 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in New Mexico. 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· 32nd of 51
$646
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.