How much rates vary
Facilitymedian $126 · 10th to 90th $32 to $204Professionalmedian $32 · 10th to 90th $28 to $55
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 $30.90 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $30.90 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $15.14 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.60 Typical High $25.70 | Professional | TC · Technical part | $16.22 | $16.60 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $22.91 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $20.89 | $20.89 | $20.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $31.62 Median $138.04 Typical High $204.17 | Facility | None | $31.62 | $138.04 | $204.17 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None (both parts) | $27.54 | $27.54 | $33.11 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | 26 · Professional part | $12.88 | $12.88 | $15.49 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | TC · Technical part | $14.45 | $14.45 | $17.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $28.84 | $35.48 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $14.79 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $29.51 | Professional | TC · Technical part | $15.14 | $19.50 | $29.51 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $97.72 | Facility | None | $31.62 | $34.67 | $97.72 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $46.77 Typical High $354.81 | Professional | None (both parts) | $29.51 | $46.77 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $97.72 | Professional | 26 · Professional part | $14.13 | $17.78 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $30.20 Typical High $181.97 | Professional | TC · Technical part | $15.14 | $30.20 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $28.18 | $41.69 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $19.05 | Professional | 26 · Professional part | $13.80 | $15.49 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $14.79 | $26.30 | $32.36 |
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 $14.79 Median $15.85 Typical High $19.95 | Professional | 52 · Reduced service | $14.79 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $7.94 | Professional | 53 · Discontinued | $5.89 | $6.31 | $7.94 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in New York. 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· 39th of 51
$31.62
AK $87.10NY $25.70
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.