How much rates vary
Facilitymedian $501 · 10th to 90th $123 to $759Professionalmedian $263 · 10th to 90th $191 to $2,570
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 $575.44 Median $575.44 Typical High $758.58 | Facility | None | $575.44 | $575.44 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $245.47 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $39.81 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $199.53 | $204.17 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $112.20 Median $478.63 Typical High $724.44 | Facility | None | $112.20 | $478.63 | $724.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $257.04 | $269.15 | $407.38 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $43.65 | $64.57 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $223.87 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $616.60 Typical High $933.25 | Facility | None | $144.54 | $616.60 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $123.03 | $223.87 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $63.10 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $478.63 | Professional | TC · Technical part | $85.11 | $169.82 | $478.63 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $758.58 | Facility | None | $245.47 | $295.12 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $537.03 Typical High $2,570.40 | Professional | None (both parts) | $134.90 | $537.03 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $91.20 Typical High $398.11 | Professional | 26 · Professional part | $39.81 | $91.20 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $446.68 Typical High $2,187.76 | Professional | TC · Technical part | $93.33 | $446.68 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $128.82 | $245.47 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $41.69 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $208.93 Typical High $446.68 | Professional | TC · Technical part | $89.13 | $208.93 | $446.68 |
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 $123.03 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $48.98 | $56.23 |
Where Arizona sits
The same service costs 9.1 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
$339
AK $891AL $97.72
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.