How much rates vary
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 $87.10 Median $363.08 Typical High $575.44 | Facility | TC · Technical part | $87.10 | $363.08 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $75.86 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $74.13 | $74.13 | $97.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $61.66 Median $269.15 Typical High $398.11 | Facility | None | $61.66 | $269.15 | $398.11 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $158.49 | $165.96 | $251.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $89.13 | $131.83 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $77.62 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $223.87 Typical High $316.23 | Facility | None | $87.10 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $117.49 | $239.88 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $125.89 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $102.33 | $165.96 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $512.86 | Facility | None | $151.36 | $213.80 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $144.54 | $1,548.82 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $79.43 | $831.76 | $831.76 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $64.57 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $141.25 | $173.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $85.11 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $89.13 | $154.88 |
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 $75.86 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $38.90 |
Where Arizona sits
The same service costs 6.5 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· 30th of 51
$224
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.