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 $2,344.23 Median $7,585.78 Typical High $10,232.93 | Facility | None | $2,344.23 | $7,585.78 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $794.33 | $794.33 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | 26 · Professional part | $213.80 | $213.80 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $1,096.48 | Professional | TC · Technical part | $575.44 | $575.44 | $1,096.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,949.84 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,949.84 | $4,570.88 | $12,022.64 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,778.28 | Professional | None (both parts) | $891.25 | $891.25 | $1,778.28 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $467.74 | Professional | 26 · Professional part | $234.42 | $234.42 | $467.74 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $1,288.25 | Professional | TC · Technical part | $660.69 | $660.69 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $6,760.83 | Facility | None | $1,698.24 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $891.25 | $933.25 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $251.19 Typical High $416.87 | Professional | 26 · Professional part | $239.88 | $251.19 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $691.83 Typical High $1,023.29 | Professional | TC · Technical part | $616.60 | $691.83 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $3,235.94 Typical High $8,128.31 | Facility | None | $851.14 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $6,025.60 | Professional | None (both parts) | $851.14 | $1,122.02 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $1,445.44 | Professional | 26 · Professional part | $234.42 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $794.33 Typical High $4,570.88 | Professional | TC · Technical part | $588.84 | $794.33 | $4,570.88 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $933.25 Typical High $1,548.82 | Professional | None (both parts) | $831.76 | $933.25 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $223.87 | $269.15 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $676.08 Typical High $1,071.52 | Professional | TC · Technical part | $588.84 | $676.08 | $1,071.52 |
1 more rate 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 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $588.84 | $588.84 | $707.95 |
Where Arizona sits
The same service costs 4.2 times more in Wisconsin than in New York. 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· 11th of 51
$1,950
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.