How much rates vary
Facilitymedian $398 · 10th to 90th $148 to $2,455Professionalmedian $219 · 10th to 90th $186 to $1,698
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 $3,715.35 Typical High $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $70.79 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $123.03 | $123.03 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $181.97 | $181.97 | $194.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $151.36 Median $363.08 Typical High $954.99 | Facility | None | $151.36 | $363.08 | $954.99 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $165.96 | $177.83 | $371.54 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $69.18 | $141.25 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $109.65 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $1,659.59 | Facility | None | $123.03 | $173.78 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $204.17 | $213.80 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $70.79 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $144.54 | $229.09 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $2,951.21 | Facility | None | $190.55 | $354.81 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $1,698.24 | Professional | None (both parts) | $190.55 | $288.40 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $588.84 | Professional | 26 · Professional part | $70.79 | $102.33 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $1,122.02 | Professional | TC · Technical part | $120.23 | $190.55 | $1,122.02 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $186.21 | $218.78 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $79.43 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $144.54 | $269.15 |
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 $97.72 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $38.90 | $38.90 | $43.65 |
Where Arizona sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 35th of 51
$251
WI $708UT $135
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.