How much rates vary
Facilitymedian $200 · 10th to 90th $76 to $501Professionalmedian $112 · 10th to 90th $74 to $891
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $141.25 | Professional | None (both parts) | $74.13 | $74.13 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $26.92 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $46.77 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $81.28 Median $354.81 Typical High $524.81 | Facility | None | $81.28 | $354.81 | $524.81 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $81.28 | $83.18 | $125.89 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $31.62 | $47.86 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $50.12 | $51.29 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $213.80 | Facility | None | $53.70 | $141.25 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $58.88 | $131.83 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $46.77 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $38.02 | $83.18 | $125.89 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $245.47 | Facility | None | $74.13 | $104.71 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $77.62 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $28.18 | $338.84 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $50.12 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $70.79 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $36.31 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $58.88 | $109.65 |
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 $37.15 Median $37.15 Typical High $50.12 | Professional | 52 · Reduced service | $37.15 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $19.95 | Professional | 53 · Discontinued | $14.79 | $14.79 | $19.95 |
Where Arizona sits
The same service costs 4.5 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· 28th of 51
$135
AK $316AL $70.79
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.