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 $7,244.36 Typical High $10,232.93 | Facility | None | $2,344.23 | $7,244.36 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $2,187.76 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $512.86 | Professional | 26 · Professional part | $316.23 | $316.23 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $1,479.11 | Professional | TC · Technical part | $776.25 | $776.25 | $1,479.11 |
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 $1,202.26 Median $1,202.26 Typical High $2,398.83 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $2,398.83 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $691.83 | Professional | 26 · Professional part | $346.74 | $346.74 | $691.83 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,698.24 | Professional | TC · Technical part | $870.96 | $870.96 | $1,698.24 |
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 $1,288.25 Median $1,288.25 Typical High $2,089.30 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $371.54 Typical High $616.60 | Professional | 26 · Professional part | $354.81 | $371.54 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $912.01 Typical High $1,479.11 | Professional | TC · Technical part | $891.25 | $912.01 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,235.94 Typical High $8,128.31 | Facility | None | $891.25 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,659.59 Typical High $8,128.31 | Professional | None (both parts) | $1,202.26 | $1,659.59 | $8,128.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $478.63 Typical High $2,137.96 | Professional | 26 · Professional part | $338.84 | $478.63 | $2,137.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,148.15 Typical High $6,025.60 | Professional | TC · Technical part | $870.96 | $1,148.15 | $6,025.60 |
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 $1,202.26 Median $1,318.26 Typical High $2,187.76 | Professional | None (both parts) | $1,202.26 | $1,318.26 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $389.05 Typical High $630.96 | Professional | 26 · Professional part | $338.84 | $389.05 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $954.99 Typical High $1,513.56 | Professional | TC · Technical part | $831.76 | $954.99 | $1,513.56 |
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 $812.83 Median $812.83 Typical High $954.99 | Professional | 54 · Surgery only | $812.83 | $812.83 | $954.99 |
Where Arizona sits
The same service costs 3.9 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· 17th of 51
$2,188
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.