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 $1,621.81 Median $6,760.83 Typical High $10,964.78 | Facility | None | $1,621.81 | $6,760.83 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,445.44 Median $6,165.95 Typical High $9,332.54 | Facility | None | $1,445.44 | $6,165.95 | $9,332.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,089.30 Typical High $3,630.78 | Professional | None (both parts) | $2,041.74 | $2,089.30 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $4,168.69 Typical High $5,128.61 | Facility | None | $1,479.11 | $4,168.69 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $3,715.35 | Facility | None | $1,412.54 | $1,584.89 | $3,715.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $10,471.29 | Professional | None (both parts) | $891.25 | $891.25 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,288.25 | Professional | None (both parts) | $891.25 | $891.25 | $1,288.25 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 26 · Professional part | $1,412.54 | $1,412.54 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | TC · Technical part | $10,964.78 | $10,964.78 | $10,964.78 |
Where Arizona sits
The same service costs 229.1 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· 32nd of 51
$1,585
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.