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 $3,890.45 Median $16,218.10 Typical High $25,703.96 | Facility | None | $3,890.45 | $16,218.10 | $25,703.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,715.35 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,715.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,659.59 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 53 · Discontinued | $676.08 | $676.08 | $758.58 |
BCBS Arizona Setting Facility Modifier None Typical Low $2,884.03 Median $12,589.25 Typical High $18,620.87 | Facility | None | $2,884.03 | $12,589.25 | $18,620.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,623.41 Typical High $9,772.37 | Professional | None (both parts) | $5,495.41 | $5,623.41 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $9,120.11 Typical High $10,964.78 | Facility | None | $3,388.44 | $9,120.11 | $10,964.78 |
Medica Setting Facility Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $8,709.64 | Facility | None | $3,388.44 | $3,715.35 | $8,709.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $25,118.86 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $3,019.95 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $3,019.95 |
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | 26 · Professional part | $3,388.44 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Professional | TC · Technical part | $25,703.96 | $25,703.96 | $25,703.96 |
Where Arizona sits
The same service costs 12.0 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· 33rd of 51
$3,715
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.