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 TC · Technical part Typical Low $97.72 Median $416.87 Typical High $660.69 | Facility | TC · Technical part | $97.72 | $416.87 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $66.07 | $66.07 | $67.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $46.77 Median $204.17 Typical High $302.00 | Facility | None | $46.77 | $204.17 | $302.00 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $79.43 | $79.43 | $151.36 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $24.55 | $46.77 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $54.95 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $645.65 | Facility | None | $234.42 | $269.15 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $77.62 | $95.50 | $158.49 |
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 $54.95 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $66.07 | $109.65 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $199.53 | Facility | None | $95.50 | $104.71 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $93.33 | $602.56 | $602.56 |
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 $63.10 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $63.10 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $93.33 | $97.72 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $30.20 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $67.61 | $102.33 |
1 more rate 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 $89.13 Median $89.13 Typical High $89.13 | Professional | 59 · Distinct service | $89.13 | $89.13 | $89.13 |
Where Arizona sits
The same service costs 3.9 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· 38th of 51
$97.72
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.