How much rates vary
Facilitymedian $162 · 10th to 90th $40 to $251Professionalmedian $87 · 10th to 90th $60 to $724
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 $70.79 Median $295.12 Typical High $478.63 | Facility | TC · Technical part | $70.79 | $295.12 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $77.62 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $21.38 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $57.54 | $61.66 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $154.88 Typical High $234.42 | Facility | None | $36.31 | $154.88 | $234.42 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $87.10 | $91.20 | $134.90 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $22.91 | $34.67 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $64.57 | $67.61 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $186.21 Typical High $251.19 | Facility | None | $46.77 | $186.21 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $42.66 | $77.62 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $14.45 | $25.12 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $50.12 Typical High $120.23 | Professional | TC · Technical part | $27.54 | $50.12 | $120.23 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $263.03 | Facility | None | $83.18 | $100.00 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $158.49 Typical High $724.44 | Professional | None (both parts) | $46.77 | $158.49 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $45.71 Typical High $199.53 | Professional | 26 · Professional part | $15.85 | $45.71 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $112.20 Typical High $537.03 | Professional | TC · Technical part | $30.90 | $112.20 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $44.67 | $77.62 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $43.65 | Professional | 26 · Professional part | $15.14 | $20.42 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $29.51 | $57.54 | $120.23 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Where Arizona sits
The same service costs 4.6 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· 31st of 51
$110
AK $269AL $58.88
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.