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 $1,023.29 Median $4,265.80 Typical High $6,918.31 | Facility | None | $1,023.29 | $4,265.80 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | None (both parts) | $891.25 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $501.19 | Professional | 52 · Reduced service | $446.68 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | 53 · Discontinued | $177.83 | $177.83 | $199.53 |
BCBS Arizona Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $5,128.61 | Facility | None | $794.33 | $3,467.37 | $5,128.61 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,174.90 Typical High $2,041.74 | Professional | None (both parts) | $1,122.02 | $1,174.90 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,630.27 Typical High $3,235.94 | Facility | None | $912.01 | $2,630.27 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $977.24 Typical High $2,344.23 | Facility | None | $891.25 | $977.24 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $6,606.93 | Professional | None (both parts) | $562.34 | $562.34 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $562.34 | $562.34 | $794.33 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Where Arizona sits
The same service costs 104.7 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· 34th of 51
$1,000
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.