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 $1,995.26 Median $8,317.64 Typical High $13,489.63 | Facility | None | $1,995.26 | $8,317.64 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,737.80 Median $7,413.10 Typical High $11,220.18 | Facility | None | $1,737.80 | $7,413.10 | $11,220.18 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,570.40 Typical High $4,466.84 | Professional | None (both parts) | $2,454.71 | $2,570.40 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $5,011.87 Typical High $6,165.95 | Facility | None | $1,737.80 | $5,011.87 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $4,466.84 | Facility | None | $1,737.80 | $1,905.46 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $12,882.50 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,548.82 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,548.82 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 26 · Professional part | $1,737.80 | $1,737.80 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
Where Arizona sits
The same service costs 204.2 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· 31st of 51
$1,950
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.