How much rates vary
Facilitymedian $170 · 10th to 90th $71 to $437Professionalmedian $141 · 10th to 90th $83 to $2,188
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 Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $91.20 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $51.29 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | TC · Technical part | $38.90 | $38.90 | $47.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $295.12 Typical High $436.52 | Facility | None | $67.61 | $295.12 | $436.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $100.00 | $104.71 | $158.49 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $61.66 | $93.33 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $41.69 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $169.82 | Facility | None | $67.61 | $117.49 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $69.18 | $158.49 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $85.11 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $93.33 Typical High $223.87 | Professional | TC · Technical part | $30.20 | $93.33 | $223.87 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $426.58 | Facility | None | $91.20 | $128.82 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $83.18 | $2,187.76 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $51.29 | $794.33 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $32.36 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $75.86 | $141.25 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $52.48 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $53.70 Typical High $125.89 | Professional | TC · Technical part | $31.62 | $53.70 | $125.89 |
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 Facility Modifier 53 · Discontinued Typical Low $9.12 Median $38.02 Typical High $60.26 | Facility | 53 · Discontinued | $9.12 | $38.02 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | 53 · Discontinued | $18.20 | $18.20 | $23.44 |
Where Arizona sits
The same service costs 7.6 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
$141
AK $457AL $60.26
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.