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 $549.54 Median $2,290.87 Typical High $3,715.35 | Facility | None | $549.54 | $2,290.87 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $389.05 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $95.50 | $95.50 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $489.78 Median $2,089.30 Typical High $3,162.28 | Facility | None | $489.78 | $2,089.30 | $3,162.28 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $691.83 Median $707.95 Typical High $1,230.27 | Professional | None (both parts) | $691.83 | $707.95 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $1,995.26 | Facility | None | $489.78 | $1,412.54 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $1,258.93 | Facility | None | $478.63 | $524.81 | $1,258.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $3,548.13 | Professional | None (both parts) | $302.00 | $302.00 | $3,548.13 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $302.00 | $302.00 | $436.52 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 26 · Professional part | $478.63 | $478.63 | $478.63 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | TC · Technical part | $4,466.84 | $4,466.84 | $4,466.84 |
Where Arizona sits
The same service costs 10.2 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· 25th of 51
$692
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.