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 $51.29 Median $91.20 Typical High $398.11 | Facility | None | $51.29 | $91.20 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.91 Median $100.00 Typical High $147.91 | Facility | None | $22.91 | $100.00 | $147.91 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $43.65 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $43.65 | $44.67 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $93.33 Typical High $112.20 | Facility | None | $34.67 | $93.33 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $26.92 | $26.92 | $26.92 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $89.13 | Facility | None | $51.29 | $56.23 | $89.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $257.04 | Professional | None (both parts) | $21.38 | $21.38 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $30.90 | Professional | None (both parts) | $21.38 | $21.38 | $30.90 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Where Arizona sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 37th of 51
$51.29
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.