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 $275.42 Median $1,148.15 Typical High $1,862.09 | Facility | None | $275.42 | $1,148.15 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $229.09 Median $1,023.29 Typical High $1,548.82 | Facility | None | $229.09 | $1,023.29 | $1,548.82 |
BCBS Arizona Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $489.78 | Professional | None | $213.80 | $338.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $707.95 Typical High $1,000.00 | Facility | None | $251.19 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $549.54 | Professional | None | $239.88 | $309.03 | $549.54 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $1,698.24 | Facility | None | $239.88 | $354.81 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $316.23 | Professional | None | $151.36 | $204.17 | $316.23 |
United Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $323.59 | Professional | None | $151.36 | $204.17 | $323.59 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Where Arizona sits
The same service costs 5.4 times more in Alaska 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
$295
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.