How much rates vary
Facilitymedian $56 · 10th to 90th $21 to $120Professionalmedian $31 · 10th to 90th $19 to $263
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 $23.99 Median $48.98 Typical High $114.82 | Facility | None | $23.99 | $48.98 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $60.26 | Professional | None (both parts) | $21.38 | $21.38 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $4.27 Typical High $9.55 | Professional | 26 · Professional part | $4.27 | $4.27 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $53.70 | Professional | TC · Technical part | $16.98 | $16.98 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | None (both parts) | $28.18 | $28.18 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $5.62 | $7.94 | $7.94 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $81.28 Typical High $120.23 | Facility | None | $18.62 | $81.28 | $120.23 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.44 Typical High $34.67 | Professional | None (both parts) | $22.39 | $23.44 | $34.67 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.25 Typical High $7.76 | Professional | 26 · Professional part | $5.01 | $5.25 | $7.76 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.20 Typical High $27.54 | Professional | TC · Technical part | $17.38 | $18.20 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $74.13 | Facility | None | $25.12 | $51.29 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $16.98 | $30.90 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $6.61 Typical High $10.72 | Professional | 26 · Professional part | $3.24 | $6.61 | $10.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $12.88 | $25.70 | $45.71 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $120.23 | Facility | None | $21.38 | $30.20 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.05 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $19.05 | $263.03 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $3.98 | $144.54 | $144.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $14.45 | $223.87 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $29.51 Typical High $47.86 | Professional | None (both parts) | $19.05 | $29.51 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $4.47 Typical High $9.12 | Professional | 26 · Professional part | $3.89 | $4.47 | $9.12 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $23.99 Typical High $38.02 | Professional | TC · Technical part | $14.45 | $23.99 | $38.02 |
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 $10.47 Median $10.47 Typical High $13.18 | Professional | 52 · Reduced service | $10.47 | $10.47 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.37 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 31st of 51
$36.31
AK $123AR $28.18
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.