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 $831.76 Median $4,677.35 Typical High $7,585.78 | Facility | None | $831.76 | $4,677.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
BCBS Arizona Setting Facility Modifier None Typical Low $51.29 Median $229.09 Typical High $346.74 | Facility | None | $51.29 | $229.09 | $346.74 |
BCBS Arizona Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $288.40 | Professional | None | $128.82 | $204.17 | $288.40 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $2,187.76 | Facility | None | $398.11 | $549.54 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $831.76 | Professional | None | $416.87 | $457.09 | $831.76 |
United Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $870.96 | Professional | None | $416.87 | $446.68 | $870.96 |
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 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Where Arizona sits
The same service costs 56.2 times more in Wisconsin 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· 42nd of 51
$447
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.