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 $512.86 Median $2,137.96 Typical High $3,467.37 | Facility | None | $512.86 | $2,137.96 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
BCBS Arizona Setting Facility Modifier None Typical Low $281.84 Median $1,258.93 Typical High $1,905.46 | Facility | None | $281.84 | $1,258.93 | $1,905.46 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $346.74 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $346.74 | $562.34 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,202.26 Typical High $1,445.44 | Facility | None | $446.68 | $1,202.26 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $660.69 | $758.58 | $954.99 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $3,162.28 | Facility | None | $446.68 | $602.56 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $275.42 | $275.42 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $275.42 | $275.42 | $524.81 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 26 · Professional part | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Where Arizona sits
The same service costs 114.8 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· 30th of 51
$501
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.