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 $275.42 Median $1,174.90 Typical High $1,862.09 | Facility | None | $275.42 | $1,174.90 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $48.98 | $53.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $162.18 Median $691.83 Typical High $1,047.13 | Facility | None | $162.18 | $691.83 | $1,047.13 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $302.00 | $316.23 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $660.69 Typical High $794.33 | Facility | None | $245.47 | $660.69 | $794.33 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $630.96 | Facility | None | $239.88 | $269.15 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $1,819.70 | Professional | None (both parts) | $151.36 | $151.36 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $151.36 | $151.36 | $218.78 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $1,862.09 |
Where Arizona sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$245
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.