How much rates vary
Facilitymedian $141 · 10th to 90th $25 to $224Professionalmedian $15 · 10th to 90th $13 to $46
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 $15.49 Median $15.49 Typical High $21.38 | Professional | None (both parts) | $15.49 | $15.49 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $12.30 | $12.30 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.31 Typical High $4.68 | Professional | TC · Technical part | $3.31 | $3.31 | $4.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None (both parts) | $13.80 | $13.80 | $13.80 |
BCBS Arizona Setting Facility Modifier None Typical Low $34.67 Median $151.36 Typical High $223.87 | Facility | None | $34.67 | $151.36 | $223.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | None (both parts) | $13.49 | $13.49 | $15.85 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | 26 · Professional part | $10.47 | $10.47 | $12.59 |
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 $14.13 Median $18.62 Typical High $35.48 | Professional | None (both parts) | $14.13 | $18.62 | $35.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $9.55 | $10.96 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.89 Typical High $26.30 | Professional | TC · Technical part | $3.02 | $3.89 | $26.30 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $16.98 Typical High $39.81 | Facility | None | $15.49 | $16.98 | $39.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $14.45 Median $40.74 Typical High $263.03 | Professional | None (both parts) | $14.45 | $40.74 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $85.11 | Professional | 26 · Professional part | $10.23 | $11.75 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $30.20 Typical High $208.93 | Professional | TC · Technical part | $2.75 | $30.20 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $13.49 Median $24.55 Typical High $44.67 | Professional | None (both parts) | $13.49 | $24.55 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $14.45 | Professional | 26 · Professional part | $10.23 | $11.75 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $13.49 Typical High $33.11 | Professional | TC · Technical part | $2.45 | $13.49 | $33.11 |
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 $7.76 Median $7.76 Typical High $10.23 | Professional | 52 · Reduced service | $7.76 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $4.07 | Professional | 53 · Discontinued | $3.09 | $3.09 | $4.07 |
Where Arizona sits
The same service costs 2.6 times more in California than in New York. 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· 47th of 51
$15.85
CA $38.02NY $14.45
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.