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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $23.44 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $77.62 | $77.62 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $53.70 Median $234.42 Typical High $346.74 | Facility | None | $53.70 | $234.42 | $346.74 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $102.33 | $107.15 | $158.49 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $27.54 | $41.69 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $79.43 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $234.42 Typical High $346.74 | Facility | None | $38.90 | $234.42 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $56.23 | $100.00 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $16.98 | $35.48 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $66.07 Typical High $158.49 | Professional | TC · Technical part | $36.31 | $66.07 | $158.49 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $407.38 | Facility | None | $102.33 | $123.03 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $79.43 | $1,348.96 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $21.88 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $57.54 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $61.66 | $100.00 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $25.12 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $40.74 | $77.62 | $141.25 |
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 $51.29 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.91 |
Where Arizona sits
The same service costs 5.8 times more in Alaska 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· 27th of 51
$141
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.