How much rates vary
Facilitymedian $275 · 10th to 90th $83 to $468Professionalmedian $110 · 10th to 90th $87 to $676
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 $109.65 Median $109.65 Typical High $125.89 | Facility | None | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $97.72 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $29.51 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $79.43 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $70.79 | $87.10 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $61.66 Median $263.03 Typical High $398.11 | Facility | None | $61.66 | $263.03 | $398.11 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $97.72 | $97.72 | $181.97 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $25.70 | $47.86 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $72.44 | $72.44 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $645.65 | Facility | None | $245.47 | $323.59 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $87.10 | $107.15 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $30.20 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $77.62 | $128.82 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $223.87 | Facility | None | $109.65 | $120.23 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $102.33 | $676.08 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $28.84 | $181.97 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $75.86 | $489.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $102.33 | $109.65 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $30.20 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $79.43 | $120.23 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 59 · Distinct service | $104.71 | $104.71 | $109.65 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 76 · Repeat, same provider | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier AQ · Shortage area physician Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | AQ · Shortage area physician | $81.28 | $81.28 | $81.28 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Texas. 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
$110
AK $309TX $83.18
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.