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 Professional Modifier None Typical Low $5,370.32 Median $6,309.57 Typical High $6,309.57 | Professional | None | $5,370.32 | $6,309.57 | $6,309.57 |
BCBS Arizona Setting Facility Modifier None Typical Low $281.84 Median $1,288.25 Typical High $1,949.84 | Facility | None | $281.84 | $1,288.25 | $1,949.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $5,623.41 Median $7,413.10 Typical High $9,332.54 | Professional | None | $5,623.41 | $7,413.10 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,456.54 | Professional | None | $5,495.41 | $5,495.41 | $6,456.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | RR · Rental | $549.54 | $549.54 | $645.65 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $6,918.31 Typical High $42,657.95 | Facility | None | $831.76 | $6,918.31 | $42,657.95 |
Medica Setting Facility Modifier RR · Rental Typical Low $1,905.46 Median $4,168.69 Typical High $4,168.69 | Facility | RR · Rental | $1,905.46 | $4,168.69 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,754.23 | $2,951.21 | $4,786.30 |
Medica Setting Professional Modifier RR · Rental Typical Low $288.40 Median $426.58 Typical High $537.03 | Professional | RR · Rental | $288.40 | $426.58 | $537.03 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,454.71 | $2,951.21 | $4,786.30 |
United Setting Professional Modifier RR · Rental Typical Low $295.12 Median $426.58 Typical High $537.03 | Professional | RR · Rental | $295.12 | $426.58 | $537.03 |
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 UE · Used equipment Typical Low $3,981.07 Median $4,786.30 Typical High $4,786.30 | Professional | UE · Used equipment | $3,981.07 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | UE · Used equipment | $5,128.61 | $5,128.61 | $5,128.61 |
Where Arizona sits
The same service costs 9.3 times more in North Dakota than in Montana. 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· 47th of 51
$4,266
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.