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 $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $33.11 | Professional | TC · Technical part | $22.91 | $26.30 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $70.79 | $91.20 | $97.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $17.38 Median $75.86 Typical High $112.20 | Facility | None | $17.38 | $75.86 | $112.20 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $85.11 | $85.11 | $102.33 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $61.66 | $61.66 | $74.13 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | TC · Technical part | $23.44 | $23.44 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $85.11 | $91.20 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $69.18 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $28.18 | Professional | TC · Technical part | $14.45 | $26.30 | $28.18 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $234.42 | Facility | None | $95.50 | $104.71 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $707.95 | Professional | None (both parts) | $87.10 | $100.00 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $489.78 | Professional | 26 · Professional part | $67.61 | $79.43 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $213.80 | Professional | TC · Technical part | $15.49 | $23.99 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $85.11 | $93.33 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $66.07 | $70.79 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.50 Typical High $28.84 | Professional | TC · Technical part | $15.49 | $19.50 | $28.84 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 59 · Distinct service | $117.49 | $117.49 | $117.49 |
Where Arizona sits
The same service costs 3.3 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· 46th of 51
$95.50
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.