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 $54.95 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $54.95 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $13.80 | $22.39 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $102.33 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $44.67 Median $194.98 Typical High $288.40 | Facility | None | $44.67 | $194.98 | $288.40 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $131.83 | $251.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $21.88 | $42.66 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $109.65 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $44.67 | $128.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $32.36 Typical High $70.79 | Professional | 26 · Professional part | $11.48 | $32.36 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $30.90 | $97.72 | $194.98 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $263.03 | Facility | None | $120.23 | $138.04 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $112.20 | $1,000.00 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $44.67 | $281.84 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $58.88 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $47.86 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $47.86 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $97.72 | $158.49 |
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 $61.66 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $25.12 | $26.30 |
Where Arizona sits
The same service costs 5.2 times more in Alaska than in Indiana. 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
$135
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.