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 $2,754.23 Median $11,481.54 Typical High $18,620.87 | Facility | None | $2,754.23 | $11,481.54 | $18,620.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,621.81 Median $6,918.31 Typical High $10,471.29 | Facility | None | $1,621.81 | $6,918.31 | $10,471.29 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,162.28 Typical High $5,495.41 | Professional | None (both parts) | $3,019.95 | $3,162.28 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $7,079.46 Typical High $8,709.64 | Facility | None | $2,511.89 | $7,079.46 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $6,309.57 | Facility | None | $2,398.83 | $2,630.27 | $6,309.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $17,782.79 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $2,137.96 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,137.96 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 26 · Professional part | $2,398.83 | $2,398.83 | $2,398.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
Where Arizona sits
The same service costs 8.9 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· 36th of 51
$2,630
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.