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 $89.13 Median $371.54 Typical High $588.84 | Facility | None | $89.13 | $371.54 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $72.44 Median $331.13 Typical High $501.19 | Facility | None | $72.44 | $331.13 | $501.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $67.61 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $67.61 | $109.65 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $223.87 Typical High $275.42 | Facility | None | $77.62 | $223.87 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $131.83 | $138.04 | $173.78 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $97.72 Typical High $549.54 | Facility | None | $75.86 | $97.72 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $47.86 | $47.86 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $47.86 | $47.86 | $91.20 |
3 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 $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where Arizona sits
The same service costs 8.1 times more in Alaska than in Kentucky. 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· 31st of 51
$87.10
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.