How much rates vary
Facilitymedian $251 · 10th to 90th $63 to $372Professionalmedian $123 · 10th to 90th $87 to $1,072
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 TC · Technical part Typical Low $97.72 Median $407.38 Typical High $660.69 | Facility | TC · Technical part | $97.72 | $407.38 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $109.65 | $109.65 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $23.99 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $85.11 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $42.66 | $42.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $245.47 Typical High $371.54 | Facility | None | $57.54 | $245.47 | $371.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $117.49 | $120.23 | $181.97 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $25.70 | $38.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $95.50 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $257.04 Typical High $371.54 | Facility | None | $74.13 | $257.04 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $67.61 | $134.90 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $19.50 | $38.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $43.65 | $79.43 | $173.78 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $346.74 | Facility | None | $109.65 | $131.83 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $223.87 Typical High $1,071.52 | Professional | None (both parts) | $74.13 | $223.87 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $54.95 Typical High $234.42 | Professional | 26 · Professional part | $23.99 | $54.95 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $181.97 Typical High $851.14 | Professional | TC · Technical part | $48.98 | $181.97 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $70.79 | $112.20 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $25.70 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $81.28 Typical High $181.97 | Professional | TC · Technical part | $46.77 | $81.28 | $181.97 |
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 $54.95 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.44 |
Where Arizona sits
The same service costs 7.1 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· 31st of 51
$158
AK $417AL $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.