How much rates vary
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 Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None (both parts) | $776.25 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | TC · Technical part | $660.69 | $660.69 | $812.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $371.54 Median $1,584.89 Typical High $2,398.83 | Facility | None | $371.54 | $1,584.89 | $2,398.83 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,737.80 | Professional | None (both parts) | $912.01 | $912.01 | $1,737.80 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $120.23 | $229.09 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,513.56 | Professional | TC · Technical part | $794.33 | $794.33 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,023.29 Typical High $1,949.84 | Professional | None (both parts) | $851.14 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $263.03 | Professional | 26 · Professional part | $114.82 | $128.82 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $891.25 Typical High $1,659.59 | Professional | TC · Technical part | $724.44 | $891.25 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $1,737.80 | Facility | None | $776.25 | $851.14 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $933.25 Median $5,888.44 Typical High $5,888.44 | Professional | None (both parts) | $933.25 | $5,888.44 | $5,888.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $117.49 | $758.58 | $758.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $5,128.61 Typical High $5,128.61 | Professional | TC · Technical part | $812.83 | $5,128.61 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,023.29 Typical High $1,737.80 | Professional | None (both parts) | $870.96 | $1,023.29 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $128.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $891.25 Typical High $1,548.82 | Professional | TC · Technical part | $776.25 | $891.25 | $1,548.82 |
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 $389.05 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $154.88 | $190.55 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 33rd of 51
$1,023
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.