How much rates vary
Facilitymedian $141 · 10th to 90th $39 to $251Professionalmedian $72 · 10th to 90th $52 to $631
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $54.95 | $54.95 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $12.59 | $12.59 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $41.69 | $70.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $38.90 Median $165.96 Typical High $251.19 | Facility | None | $38.90 | $165.96 | $251.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $56.23 | $58.88 | $89.13 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $14.79 | $21.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $42.66 | $43.65 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $125.89 Typical High $199.53 | Facility | None | $38.02 | $125.89 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $42.66 | $81.28 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $10.47 | $21.88 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $30.20 | $63.10 | $85.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $77.62 Typical High $173.78 | Facility | None | $54.95 | $77.62 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $54.95 | $630.96 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $13.49 | $169.82 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $42.66 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $48.98 | $63.10 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $28.18 | Professional | 26 · Professional part | $11.75 | $13.80 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $93.33 | Professional | TC · Technical part | $35.48 | $45.71 | $93.33 |
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 $27.54 Median $27.54 Typical High $38.90 | Professional | 52 · Reduced service | $27.54 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $15.49 | Professional | 53 · Discontinued | $10.96 | $10.96 | $15.49 |
Where Arizona sits
The same service costs 4.0 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· 26th of 51
$97.72
AK $234AL $58.88
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.