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 $1,513.56 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,513.56 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,584.89 Typical High $1,819.70 | Professional | None (both parts) | $1,071.52 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $724.44 | Professional | 52 · Reduced service | $660.69 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | 53 · Discontinued | $263.03 | $263.03 | $295.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $602.56 Median $2,630.27 Typical High $3,890.45 | Facility | None | $602.56 | $2,630.27 | $3,890.45 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $851.14 Median $891.25 Typical High $1,548.82 | Professional | None (both parts) | $851.14 | $891.25 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $3,548.13 Typical High $4,265.80 | Facility | None | $1,318.26 | $3,548.13 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $3,388.44 | Facility | None | $1,318.26 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $9,772.37 | Professional | None (both parts) | $812.83 | $812.83 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,174.90 | Professional | None (both parts) | $812.83 | $812.83 | $1,174.90 |
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 26 · Professional part | $1,318.26 | $1,318.26 | $1,318.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | TC · Technical part | $10,000.00 | $10,000.00 | $10,000.00 |
Where Arizona sits
The same service costs 16.6 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· 48th of 51
$1,175
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.