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 $2,041.74 Median $8,511.38 Typical High $13,803.84 | Facility | None | $2,041.74 | $8,511.38 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,995.26 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,995.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | 52 · Reduced service | $891.25 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $398.11 | Professional | 53 · Discontinued | $354.81 | $354.81 | $398.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,584.89 Median $6,918.31 Typical High $10,232.93 | Facility | None | $1,584.89 | $6,918.31 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,290.87 Typical High $3,981.07 | Professional | None (both parts) | $2,238.72 | $2,290.87 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $4,786.30 Typical High $5,754.40 | Facility | None | $1,819.70 | $4,786.30 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $4,570.88 | Facility | None | $1,778.28 | $1,949.84 | $4,570.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $13,182.57 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,584.89 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 26 · Professional part | $1,778.28 | $1,778.28 | $1,778.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | TC · Technical part | $13,489.63 | $13,489.63 | $13,489.63 |
Where Arizona sits
The same service costs 33.9 times more in Texas than in Ohio. 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· 33rd of 51
$1,950
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.