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 $977.24 Median $6,606.93 Typical High $44,668.36 | Facility | None | $977.24 | $6,606.93 | $44,668.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $39.81 | $39.81 | $48.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $616.60 Median $1,479.11 Typical High $3,890.45 | Facility | None | $616.60 | $1,479.11 | $3,890.45 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $114.82 | $114.82 | $223.87 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $114.82 | $114.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $17,378.01 Typical High $24,547.09 | Facility | None | $1,584.89 | $17,378.01 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $154.88 | $162.18 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $112.20 | $117.49 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $70.79 | Professional | TC · Technical part | $43.65 | $44.67 | $70.79 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $933.25 Typical High $7,585.78 | Facility | None | $269.15 | $933.25 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $5,370.32 | Professional | None (both parts) | $151.36 | $218.78 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $707.95 | Professional | 26 · Professional part | $104.71 | $154.88 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $63.10 Typical High $5,248.07 | Professional | TC · Technical part | $42.66 | $63.10 | $5,248.07 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,380.38 Typical High $19,054.61 | Facility | None | $501.19 | $1,380.38 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $144.54 | $169.82 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $104.71 | $120.23 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $47.86 | $83.18 |
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 $72.44 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $28.84 | $28.84 | $32.36 |
Where Arizona sits
The same service costs 8.3 times more in Louisiana than in Hawaii. 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· 7th of 51
$617
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.