How much rates vary
Facilitymedian $195 · 10th to 90th $51 to $324Professionalmedian $60 · 10th to 90th $52 to $95
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $87.10 | Professional | None (both parts) | $57.54 | $60.26 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $23.99 | $25.12 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $34.67 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $61.66 | Professional | None (both parts) | $52.48 | $58.88 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $213.80 Typical High $323.59 | Facility | None | $50.12 | $213.80 | $323.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $52.48 | $52.48 | $61.66 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $21.88 | $26.30 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | TC · Technical part | $30.20 | $30.20 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $54.95 | $61.66 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $27.54 | Professional | 26 · Professional part | $20.42 | $23.44 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $30.90 | $39.81 | $47.86 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $128.82 | Facility | None | $60.26 | $66.07 | $128.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $398.11 | Professional | None (both parts) | $54.95 | $75.86 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $165.96 | Professional | 26 · Professional part | $22.39 | $25.70 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $257.04 | Professional | TC · Technical part | $30.90 | $51.29 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $81.28 | Professional | None (both parts) | $53.70 | $66.07 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $23.99 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $43.65 | $54.95 |
3 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 $28.18 Median $30.20 Typical High $37.15 | Professional | 52 · Reduced service | $28.18 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.02 Typical High $15.14 | Professional | 53 · Discontinued | $11.22 | $12.02 | $15.14 |
Ambetter Setting Professional Modifier AQ · Shortage area physician Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | AQ · Shortage area physician | $74.13 | $74.13 | $74.13 |
Where Arizona sits
The same service costs 3.5 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· 36th of 51
$60.26
AK $162FL $45.71
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.