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 $2,238.72 Median $9,332.54 Typical High $15,135.61 | Facility | None | $2,238.72 | $9,332.54 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,187.76 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | 53 · Discontinued | $389.05 | $389.05 | $436.52 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,318.26 Median $5,623.41 Typical High $8,511.38 | Facility | None | $1,318.26 | $5,623.41 | $8,511.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,570.40 Typical High $4,466.84 | Professional | None (both parts) | $2,454.71 | $2,570.40 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $5,370.32 Typical High $6,309.57 | Facility | None | $1,995.26 | $5,370.32 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $5,128.61 | Facility | None | $1,949.84 | $2,137.96 | $5,128.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $14,454.40 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $14,454.40 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,737.80 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,737.80 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 26 · Professional part | $1,949.84 | $1,949.84 | $1,949.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
Where Arizona sits
The same service costs 37.2 times more in Texas 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· 38th of 51
$1,995
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.