How much rates vary
Facilitymedian $132 · 10th to 90th $37 to $219Professionalmedian $68 · 10th to 90th $47 to $562
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 $141.25 Median $141.25 Typical High $186.21 | Facility | None | $141.25 | $141.25 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $162.18 | Professional | None (both parts) | $61.66 | $61.66 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $19.05 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $43.65 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $45.71 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $22.39 | $31.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $42.66 | $42.66 | $48.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.88 Median $147.91 Typical High $218.78 | Facility | None | $33.88 | $147.91 | $218.78 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $63.10 | $66.07 | $100.00 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $18.20 | $19.05 | $28.84 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $46.77 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $125.89 Typical High $165.96 | Facility | None | $43.65 | $125.89 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $38.90 | $77.62 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $12.30 | $22.91 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $26.30 | $50.12 | $85.11 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $194.98 | Facility | None | $61.66 | $87.10 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $104.71 Typical High $562.34 | Professional | None (both parts) | $42.66 | $104.71 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $15.85 | $89.13 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $81.28 Typical High $389.05 | Professional | TC · Technical part | $28.84 | $81.28 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $120.23 | Professional | None (both parts) | $40.74 | $60.26 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $37.15 | Professional | 26 · Professional part | $13.18 | $17.78 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $87.10 | Professional | TC · Technical part | $27.54 | $40.74 | $87.10 |
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 $30.90 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | 59 · Distinct service | $83.18 | $83.18 | $109.65 |
Where Arizona sits
The same service costs 5.9 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· 37th of 51
$81.28
AK $347AL $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.