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 $3,981.07 Median $16,982.44 Typical High $26,915.35 | Facility | None | $3,981.07 | $16,982.44 | $26,915.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $3,548.13 Median $15,135.61 Typical High $22,908.68 | Facility | None | $3,548.13 | $15,135.61 | $22,908.68 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,128.61 Typical High $8,912.51 | Professional | None (both parts) | $5,011.87 | $5,128.61 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $10,232.93 Typical High $12,589.25 | Facility | None | $3,548.13 | $10,232.93 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $9,120.11 | Facility | None | $3,467.37 | $3,890.45 | $9,120.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $26,302.68 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $26,302.68 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $3,162.28 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $3,162.28 |
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | 26 · Professional part | $3,467.37 | $3,467.37 | $3,467.37 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26,915.35 Median $26,915.35 Typical High $26,915.35 | Professional | TC · Technical part | $26,915.35 | $26,915.35 | $26,915.35 |
Where Arizona sits
The same service costs 416.9 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· 35th of 51
$3,890
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.