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 $2,137.96 Median $8,912.51 Typical High $14,125.38 | Facility | None | $2,137.96 | $8,912.51 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $5,011.87 Typical High $7,585.78 | Facility | None | $1,174.90 | $5,011.87 | $7,585.78 |
BCBS Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,995.26 Typical High $3,467.37 | Professional | None (both parts) | $1,949.84 | $1,995.26 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $5,370.32 Typical High $7,762.47 | Facility | None | $1,905.46 | $5,370.32 | $7,762.47 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $4,786.30 | Facility | None | $1,862.09 | $2,041.74 | $4,786.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $13,803.84 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $13,803.84 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,659.59 |
2 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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 26 · Professional part | $1,862.09 | $1,862.09 | $1,862.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | TC · Technical part | $17,378.01 | $17,378.01 | $17,378.01 |
Where Arizona sits
The same service costs 12.0 times more in Texas than in Rhode Island. 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· 34th of 51
$1,950
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.