How much rates vary
Facilitymedian $209 · 10th to 90th $47 to $331Professionalmedian $107 · 10th to 90th $66 to $977
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 $104.71 Median $239.88 Typical High $269.15 | Facility | None | $104.71 | $239.88 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $91.20 | $91.20 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $22.39 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $69.18 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $213.80 Typical High $323.59 | Facility | None | $50.12 | $213.80 | $323.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $95.50 | $97.72 | $147.91 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $26.30 | $38.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $72.44 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $208.93 Typical High $331.13 | Facility | None | $33.88 | $208.93 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $52.48 | $85.11 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $18.20 | $37.15 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $53.70 Typical High $138.04 | Professional | TC · Technical part | $30.20 | $53.70 | $138.04 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $309.03 | Facility | None | $91.20 | $109.65 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $72.44 | $977.24 | $977.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $22.39 | $234.42 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $46.77 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $58.88 | $89.13 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $25.70 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $33.88 | $69.18 | $128.82 |
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 $45.71 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.95 |
Where Arizona sits
The same service costs 5.2 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· 32nd of 51
$129
AK $309AL $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.