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 $616.60 Median $2,570.40 Typical High $4,073.80 | Facility | None | $616.60 | $2,570.40 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | None (both parts) | $537.03 | $537.03 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $107.15 | $120.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $478.63 Median $2,041.74 Typical High $3,090.30 | Facility | None | $478.63 | $2,041.74 | $3,090.30 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $676.08 Median $691.83 Typical High $1,202.26 | Professional | None (both parts) | $676.08 | $691.83 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,445.44 Typical High $1,737.80 | Facility | None | $537.03 | $1,445.44 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $588.84 Typical High $1,380.38 | Facility | None | $537.03 | $588.84 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $3,981.07 | Professional | None (both parts) | $331.13 | $331.13 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $331.13 | $331.13 | $478.63 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $4,073.80 | $4,073.80 | $4,073.80 |
Where Arizona sits
The same service costs 12.0 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· 38th of 51
$537
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.