How much rates vary
Facilitymedian $251 · 10th to 90th $37 to $1,549Professionalmedian $49 · 10th to 90th $38 to $355
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 $38.02 Median $67.61 Typical High $107.15 | Facility | None | $38.02 | $67.61 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $83.18 | Professional | None (both parts) | $38.02 | $40.74 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $24.55 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $34.67 | Professional | TC · Technical part | $15.85 | $15.85 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $38.90 | $41.69 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $37.15 | $41.69 | $41.69 |
BCBS Arizona Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $467.74 | Facility | None | $75.86 | $177.83 | $467.74 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $53.70 | $57.54 | $120.23 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $33.88 | $69.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $23.99 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $891.25 | Facility | None | $19.95 | $25.12 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $42.66 | $42.66 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $26.92 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $35.48 | Professional | TC · Technical part | $14.13 | $17.78 | $35.48 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $354.81 Typical High $1,698.24 | Facility | None | $57.54 | $354.81 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $64.57 Typical High $354.81 | Professional | None (both parts) | $42.66 | $64.57 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $208.93 | Professional | 26 · Professional part | $27.54 | $39.81 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $24.55 Typical High $147.91 | Professional | TC · Technical part | $15.14 | $24.55 | $147.91 |
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 $41.69 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $41.69 | $48.98 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $18.20 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $18.20 | $35.48 |
3 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 $19.05 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 59 · Distinct service | $70.79 | $70.79 | $87.10 |
Where Arizona sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 30th of 51
$60.26
MN $295KY $45.71
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.