How much rates vary
Facilitymedian $282 · 10th to 90th $79 to $537Professionalmedian $117 · 10th to 90th $93 to $1,148
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 $323.59 Median $323.59 Typical High $331.13 | Facility | None | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $109.65 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $26.92 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $85.11 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $83.18 Median $363.08 Typical High $537.03 | Facility | None | $83.18 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $117.49 | $120.23 | $208.93 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $31.62 | $54.95 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $89.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $251.19 Typical High $389.05 | Facility | None | $58.88 | $251.19 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $223.87 | Professional | None (both parts) | $79.43 | $97.72 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $43.65 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $69.18 | $173.78 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $346.74 | Facility | None | $109.65 | $134.90 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $186.21 Typical High $1,148.15 | Professional | None (both parts) | $93.33 | $186.21 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $61.66 Typical High $323.59 | Professional | 26 · Professional part | $27.54 | $61.66 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $141.25 Typical High $870.96 | Professional | TC · Technical part | $60.26 | $141.25 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $87.10 | $109.65 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $83.18 | $151.36 |
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 $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
Where Arizona sits
The same service costs 4.9 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· 40th of 51
$148
AK $468AL $95.50
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.