How much rates vary
Facilitymedian $87 · 10th to 90th $27 to $174Professionalmedian $62 · 10th to 90th $41 to $646
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 $25.70 Median $48.98 Typical High $302.00 | Facility | None | $25.70 | $48.98 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $109.65 | Professional | None (both parts) | $42.66 | $42.66 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $54.95 | Professional | 26 · Professional part | $17.38 | $17.38 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $25.70 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $26.92 Median $117.49 Typical High $173.78 | Facility | None | $26.92 | $117.49 | $173.78 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $45.71 | $47.86 | $72.44 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $20.42 | $30.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $27.54 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $77.62 Typical High $112.20 | Facility | None | $26.30 | $77.62 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $33.11 | $83.18 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $12.88 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $44.67 | $60.26 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $61.66 Typical High $295.12 | Facility | None | $42.66 | $61.66 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $40.74 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $17.38 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $23.99 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $40.74 | $63.10 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $28.84 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $30.20 | $53.70 |
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 $21.38 Median $21.38 Typical High $28.84 | Professional | 52 · Reduced service | $21.38 | $21.38 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $11.48 | Professional | 53 · Discontinued | $8.71 | $8.71 | $11.48 |
Where Arizona sits
The same service costs 3.6 times more in Wisconsin than in Alabama. 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· 33rd of 51
$69.18
WI $155AL $42.66
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.