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 $275.42 Median $1,148.15 Typical High $1,862.09 | Facility | None | $275.42 | $1,148.15 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4.79 Median $4.79 Typical High $338.84 | Professional | None (both parts) | $4.79 | $4.79 | $338.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $204.17 Median $912.01 Typical High $1,380.38 | Facility | None | $204.17 | $912.01 | $1,380.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $186.21 | $302.00 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $1,000.00 | Facility | None | $316.23 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $407.38 | $436.52 | $549.54 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $1,698.24 | Facility | None | $239.88 | $338.84 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Ohio. 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· 24th of 51
$316
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.