How much rates vary
Facilitymedian $174 · 10th to 90th $45 to $282Professionalmedian $46 · 10th to 90th $39 to $78
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 $43.65 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $43.65 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $18.62 | $19.50 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $23.44 | $25.12 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $43.65 Median $190.55 Typical High $281.84 | Facility | None | $43.65 | $190.55 | $281.84 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | None (both parts) | $38.90 | $38.90 | $46.77 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 26 · Professional part | $16.98 | $16.98 | $19.95 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | TC · Technical part | $21.88 | $21.88 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $63.10 | Professional | None (both parts) | $40.74 | $48.98 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $17.78 | $18.20 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $22.39 | $28.84 | $39.81 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $48.98 Typical High $97.72 | Facility | None | $44.67 | $48.98 | $97.72 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $338.84 | Professional | None (both parts) | $41.69 | $63.10 | $338.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $128.82 | Professional | 26 · Professional part | $18.62 | $21.88 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $223.87 | Professional | TC · Technical part | $22.39 | $41.69 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $40.74 | $57.54 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $23.99 | Professional | 26 · Professional part | $18.20 | $19.50 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $37.15 | $44.67 |
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 $20.89 Median $22.39 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.91 Typical High $11.22 | Professional | 53 · Discontinued | $8.32 | $8.91 | $11.22 |
Where Arizona sits
The same service costs 3.4 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· 31st of 51
$46.77
AK $123UT $36.31
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.