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 $575.44 Median $2,398.83 Typical High $3,890.45 | Facility | None | $575.44 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $446.68 Median $1,905.46 Typical High $2,884.03 | Facility | None | $446.68 | $1,905.46 | $2,884.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $630.96 Median $645.65 Typical High $1,122.02 | Professional | None (both parts) | $630.96 | $645.65 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,445.44 Typical High $1,778.28 | Facility | None | $501.19 | $1,445.44 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,288.25 | Facility | None | $501.19 | $549.54 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $3,715.35 | Professional | None (both parts) | $309.03 | $309.03 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $309.03 | $309.03 | $446.68 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $501.19 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | TC · Technical part | $3,801.89 | $3,801.89 | $3,801.89 |
Where Arizona sits
The same service costs 58.9 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· 41st of 51
$550
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.