How much rates vary
Facilitymedian $148 · 10th to 90th $41 to $269Professionalmedian $72 · 10th to 90th $43 to $513
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 $52.48 Median $123.03 Typical High $158.49 | Facility | None | $52.48 | $123.03 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $154.88 | Professional | None (both parts) | $52.48 | $61.66 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $9.55 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $134.90 | Professional | TC · Technical part | $44.67 | $52.48 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $38.90 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $9.55 | $13.49 | $13.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $41.69 Median $177.83 Typical High $269.15 | Facility | None | $41.69 | $177.83 | $269.15 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $54.95 | $57.54 | $85.11 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $13.18 | Professional | 26 · Professional part | $8.51 | $8.91 | $13.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $47.86 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $134.90 Typical High $199.53 | Facility | None | $36.31 | $134.90 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $35.48 | $61.66 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $5.62 | $11.22 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $30.20 | $51.29 | $91.20 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $158.49 | Facility | None | $52.48 | $74.13 | $158.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $46.77 | $512.86 | $512.86 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $7.08 | $87.10 | $87.10 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $37.15 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $40.74 | $50.12 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $7.59 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $87.10 | Professional | TC · Technical part | $33.88 | $42.66 | $87.10 |
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 $26.30 Median $26.30 Typical High $33.11 | Professional | 52 · Reduced service | $26.30 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | 53 · Discontinued | $10.47 | $10.47 | $13.18 |
Where Arizona sits
The same service costs 6.0 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
$81.28
AK $209AL $34.67
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.