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 $446.68 Median $1,862.09 Typical High $3,019.95 | Facility | None | $446.68 | $1,862.09 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $389.05 | $389.05 | $436.52 |
BCBS Arizona Setting Facility Modifier None Typical Low $398.11 Median $1,698.24 Typical High $2,570.40 | Facility | None | $398.11 | $1,698.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $562.34 Median $575.44 Typical High $1,000.00 | Professional | None (both parts) | $562.34 | $575.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,148.15 Typical High $1,621.81 | Facility | None | $416.87 | $1,148.15 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $426.58 Typical High $1,023.29 | Facility | None | $389.05 | $426.58 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $2,951.21 | Professional | None (both parts) | $245.47 | $245.47 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $245.47 | $245.47 | $354.81 |
4 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 $389.05 Median $389.05 Typical High $436.52 | Professional | 26 · Professional part | $389.05 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | 52 · Reduced service | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 53 · Discontinued | $77.62 | $77.62 | $87.10 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | TC · Technical part | $3,630.78 | $3,630.78 | $3,630.78 |
Where Arizona sits
The same service costs 8.3 times more in Texas 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· 35th of 51
$457
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.