How much rates vary
Facilitymedian $468 · 10th to 90th $135 to $891Professionalmedian $398 · 10th to 90th $251 to $3,236
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $309.03 | $309.03 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $47.86 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $630.96 | Professional | TC · Technical part | $263.03 | $263.03 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $100.00 Median $426.58 Typical High $645.65 | Facility | None | $100.00 | $426.58 | $645.65 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $323.59 | $338.84 | $512.86 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $56.23 | $85.11 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $281.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $794.33 Typical High $1,122.02 | Facility | None | $331.13 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $229.09 | $389.05 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $288.40 | $549.54 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $1,000.00 | Facility | None | $309.03 | $436.52 | $1,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $234.42 | $3,235.94 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $44.67 | $660.69 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $190.55 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $234.42 | $398.11 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $50.12 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $190.55 | $316.23 | $562.34 |
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 $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $63.10 | $75.86 |
Where Arizona sits
The same service costs 11.5 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· 38th of 51
$407
AK $1,778AL $155
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.