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 $467.74 Median $1,949.84 Typical High $3,162.28 | Facility | None | $467.74 | $1,949.84 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $407.38 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $81.28 | $91.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $407.38 Median $1,778.28 Typical High $2,630.27 | Facility | None | $407.38 | $1,778.28 | $2,630.27 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $575.44 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $575.44 | $602.56 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,202.26 Typical High $1,445.44 | Facility | None | $426.58 | $1,202.26 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,047.13 | Facility | None | $407.38 | $446.68 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $3,019.95 | Professional | None (both parts) | $257.04 | $257.04 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $257.04 | $257.04 | $363.08 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Where Arizona sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 37th 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.