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 $1,584.89 Median $6,606.93 Typical High $10,715.19 | Facility | None | $1,584.89 | $6,606.93 | $10,715.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $223.87 Median $1,000.00 Typical High $1,513.56 | Facility | None | $223.87 | $1,000.00 | $1,513.56 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,659.59 Typical High $2,344.23 | Professional | None (both parts) | $1,047.13 | $1,659.59 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $4,570.88 | Facility | None | $1,412.54 | $3,801.89 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,398.83 Typical High $2,951.21 | Professional | None (both parts) | $2,089.30 | $2,398.83 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $9,772.37 | Facility | None | $1,380.38 | $1,862.09 | $9,772.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $870.96 | $870.96 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $870.96 | $870.96 | $1,659.59 |
3 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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 26 · Professional part | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Where Arizona sits
The same service costs 354.8 times more in Wisconsin 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· 39th of 51
$1,349
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.