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 $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 $263.03 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $263.03 | $263.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $79.43 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $181.97 | $181.97 | $275.42 |
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 $229.09 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $229.09 | $245.47 | $501.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $75.86 | $158.49 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $165.96 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $1,659.59 | Facility | None | $138.04 | $194.98 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $269.15 | $281.84 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $79.43 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $194.98 | $204.17 | $363.08 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $2,041.74 | Facility | None | $199.53 | $407.38 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $2,238.72 | Professional | None (both parts) | $269.15 | $398.11 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $691.83 | Professional | 26 · Professional part | $79.43 | $114.82 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $1,584.89 | Professional | TC · Technical part | $190.55 | $288.40 | $1,584.89 |
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 $257.04 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $257.04 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $89.13 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $229.09 | $407.38 |
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 $128.82 Median $128.82 Typical High $144.54 | Professional | 52 · Reduced service | $128.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $52.48 | $57.54 |
Where Arizona sits
The same service costs 4.8 times more in Alaska 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· 39th of 51
$324
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.