How much rates vary
Facilitymedian $98 · 10th to 90th $24 to $372Professionalmedian $38 · 10th to 90th $28 to $195
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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $27.54 | $30.20 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $10.47 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $35.48 | Professional | TC · Technical part | $18.20 | $19.50 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.88 | $58.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.39 Median $97.72 Typical High $144.54 | Facility | None | $22.39 | $97.72 | $144.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $30.90 | $30.90 | $60.26 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $10.23 | $19.95 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $20.89 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $630.96 | Facility | None | $426.58 | $524.81 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $29.51 | $37.15 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $14.13 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $22.39 | $44.67 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $30.20 Typical High $138.04 | Facility | None | $27.54 | $30.20 | $138.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $33.11 | $194.98 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $13.18 | $69.18 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $19.95 | $128.82 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $30.90 | $38.02 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $14.45 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $38.02 | Professional | TC · Technical part | $19.05 | $23.44 | $38.02 |
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 $13.80 Median $13.80 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.31 |
Where Arizona sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 35th of 51
$38.02
AK $83.18FL $30.90
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.