How much rates vary
Facilitymedian $158 · 10th to 90th $58 to $288Professionalmedian $120 · 10th to 90th $81 to $1,000
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 $54.95 Median $229.09 Typical High $363.08 | Facility | TC · Technical part | $54.95 | $229.09 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $33.11 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $46.77 | $46.77 | $61.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $44.67 Median $190.55 Typical High $288.40 | Facility | None | $44.67 | $190.55 | $288.40 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $107.15 | $112.20 | $169.82 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $46.77 | $70.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $64.57 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $141.25 Typical High $199.53 | Facility | None | $69.18 | $141.25 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $63.10 | $131.83 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $25.12 | $56.23 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $36.31 | $75.86 | $123.03 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $263.03 | Facility | None | $81.28 | $95.50 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $83.18 | $1,000.00 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $162.18 Typical High $416.87 | Professional | 26 · Professional part | $34.67 | $162.18 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $199.53 Typical High $588.84 | Professional | TC · Technical part | $47.86 | $199.53 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $74.13 | $117.49 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $45.71 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $66.07 | $102.33 |
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 $39.81 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $16.22 | $20.89 |
Where Arizona sits
The same service costs 5.8 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
$138
AK $339AL $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.