How much rates vary
Facilitymedian $182 · 10th to 90th $49 to $339Professionalmedian $85 · 10th to 90th $59 to $708
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 $70.79 Median $165.96 Typical High $218.78 | Facility | None | $70.79 | $165.96 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $204.17 | Professional | None (both parts) | $70.79 | $83.18 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $19.50 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $63.10 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $53.70 | $58.88 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $20.89 | $29.51 |
BCBS Arizona Setting Facility Modifier None Typical Low $52.48 Median $223.87 Typical High $338.84 | Facility | None | $52.48 | $223.87 | $338.84 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $75.86 | $77.62 | $117.49 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $19.05 | $19.50 | $29.51 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $56.23 | $58.88 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $162.18 Typical High $245.47 | Facility | None | $43.65 | $162.18 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $48.98 | $89.13 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $12.30 | $25.70 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $35.48 | $57.54 | $109.65 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $389.05 | Facility | None | $70.79 | $85.11 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $64.57 | $707.95 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $15.85 | $162.18 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $45.71 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $138.04 | Professional | None (both parts) | $56.23 | $67.61 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $34.67 | Professional | 26 · Professional part | $15.49 | $16.98 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $40.74 | $52.48 | $107.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $14.13 | $18.20 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $58.88 Median $58.88 Typical High $128.82 | Professional | Q6 · Substitute physician, paid per time | $58.88 | $58.88 | $128.82 |
Where Arizona sits
The same service costs 5.5 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
$107
AK $269AL $48.98
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.