How much rates vary
Facilitymedian $54 · 10th to 90th $19 to $126Professionalmedian $46 · 10th to 90th $33 to $355
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $35.48 | $35.48 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $23.44 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | TC · Technical part | $12.30 | $12.30 | $23.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $20.42 Median $87.10 Typical High $131.83 | Facility | None | $20.42 | $87.10 | $131.83 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $38.90 | $40.74 | $60.26 |
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 $12.59 Median $12.88 Typical High $19.50 | Professional | TC · Technical part | $12.59 | $12.88 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $37.15 Typical High $54.95 | Facility | None | $11.75 | $37.15 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $25.70 | $51.29 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $16.60 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $15.85 Typical High $30.20 | Professional | TC · Technical part | $8.32 | $15.85 | $30.20 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $123.03 | Facility | None | $35.48 | $48.98 | $123.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $144.54 Typical High $354.81 | Professional | None (both parts) | $33.88 | $144.54 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $100.00 Typical High $229.09 | Professional | 26 · Professional part | $21.88 | $100.00 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $44.67 Typical High $120.23 | Professional | TC · Technical part | $10.72 | $44.67 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $32.36 | $39.81 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $24.55 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $14.45 Typical High $24.55 | Professional | TC · Technical part | $10.72 | $14.45 | $24.55 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 59 · Distinct service | $63.10 | $63.10 | $63.10 |
Where Arizona sits
The same service costs 3.8 times more in Wisconsin than in Nevada. 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· 41st of 51
$46.77
WI $120NV $31.62
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.