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 $489.78 Median $2,041.74 Typical High $3,311.31 | Facility | None | $489.78 | $2,041.74 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | None (both parts) | $426.58 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 52 · Reduced service | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | 53 · Discontinued | $85.11 | $85.11 | $95.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $426.58 Median $1,862.09 Typical High $2,754.23 | Facility | None | $426.58 | $1,862.09 | $2,754.23 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $630.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,230.27 Typical High $1,513.56 | Facility | None | $436.52 | $1,230.27 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,096.48 | Facility | None | $426.58 | $467.74 | $1,096.48 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $269.15 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $269.15 | $269.15 | $380.19 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
Where Arizona sits
The same service costs 11.7 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· 32nd of 51
$479
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.