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 $1,905.46 Median $7,943.28 Typical High $12,589.25 | Facility | None | $1,905.46 | $7,943.28 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $7,079.46 Typical High $10,715.19 | Facility | None | $1,659.59 | $7,079.46 | $10,715.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,398.83 Typical High $4,168.69 | Professional | None (both parts) | $2,344.23 | $2,398.83 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $4,786.30 Typical High $5,888.44 | Facility | None | $1,698.24 | $4,786.30 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $4,265.80 | Facility | None | $1,621.81 | $1,819.70 | $4,265.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $12,302.69 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,479.11 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,479.11 |
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 26 · Professional part | $1,621.81 | $1,621.81 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | TC · Technical part | $12,589.25 | $12,589.25 | $12,589.25 |
Where Arizona sits
The same service costs 8.9 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· 33rd of 51
$1,820
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.