How much rates vary
Facilitymedian $148 · 10th to 90th $26 to $234Professionalmedian $17 · 10th to 90th $14 to $49
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 $16.60 Median $16.60 Typical High $23.99 | Professional | None (both parts) | $16.60 | $16.60 | $23.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | 26 · Professional part | $13.18 | $13.18 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.31 Typical High $4.79 | Professional | TC · Technical part | $3.31 | $3.31 | $4.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $158.49 Typical High $234.42 | Facility | None | $36.31 | $158.49 | $234.42 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | None (both parts) | $14.45 | $14.45 | $17.38 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | 26 · Professional part | $11.48 | $11.48 | $13.80 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $2.95 Typical High $3.55 | Professional | TC · Technical part | $2.95 | $2.95 | $3.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $19.50 Typical High $38.90 | Professional | None (both parts) | $14.79 | $19.50 | $38.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.96 | $12.02 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.89 Typical High $28.18 | Professional | TC · Technical part | $3.02 | $3.89 | $28.18 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $72.44 | Facility | None | $16.60 | $18.20 | $72.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $15.49 Median $43.65 Typical High $269.15 | Professional | None (both parts) | $15.49 | $43.65 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $89.13 | Professional | 26 · Professional part | $11.48 | $13.18 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $31.62 Typical High $213.80 | Professional | TC · Technical part | $2.75 | $31.62 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $26.30 Typical High $47.86 | Professional | None (both parts) | $14.79 | $26.30 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $15.49 | Professional | 26 · Professional part | $11.22 | $12.59 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $2.51 Median $14.13 Typical High $34.67 | Professional | TC · Technical part | $2.51 | $14.13 | $34.67 |
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 $8.32 Median $8.32 Typical High $10.96 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $4.37 | Professional | 53 · Discontinued | $3.31 | $3.31 | $4.37 |
Where Arizona sits
The same service costs 2.5 times more in California than in Texas. 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· 44th of 51
$17.38
CA $40.74TX $16.22
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.