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 $588.84 Median $2,454.71 Typical High $3,981.07 | Facility | None | $588.84 | $2,454.71 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | None (both parts) | $512.86 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 53 · Discontinued | $102.33 | $102.33 | $114.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $338.84 Median $1,479.11 Typical High $2,187.76 | Facility | None | $338.84 | $1,479.11 | $2,187.76 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $478.63 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $478.63 | $501.19 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $1,819.70 | Facility | None | $512.86 | $1,479.11 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,318.26 | Facility | None | $512.86 | $562.34 | $1,318.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $3,801.89 | Professional | None (both parts) | $316.23 | $316.23 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $316.23 | $316.23 | $457.09 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | TC · Technical part | $3,890.45 | $3,890.45 | $3,890.45 |
Where Arizona sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 39th of 51
$513
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.