How much rates vary
Facilitymedian $275 · 10th to 90th $72 to $447Professionalmedian $110 · 10th to 90th $76 to $158
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 $107.15 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $89.13 | $107.15 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $69.18 Median $302.00 Typical High $446.68 | Facility | None | $69.18 | $302.00 | $446.68 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $109.65 | $109.65 | $131.83 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | 26 · Professional part | $12.02 | $12.02 | $14.45 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | TC · Technical part | $97.72 | $97.72 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $69.18 | $104.71 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $15.85 | Professional | 26 · Professional part | $11.75 | $12.59 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $93.33 | $104.71 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $263.03 | Facility | None | $120.23 | $131.83 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $794.33 | Professional | None (both parts) | $74.13 | $97.72 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $134.90 | Professional | 26 · Professional part | $12.59 | $14.45 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $707.95 | Professional | TC · Technical part | $61.66 | $85.11 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $74.13 | $89.13 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $12.59 | $13.18 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $61.66 | $75.86 | $107.15 |
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 $53.70 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $23.99 | $25.70 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | 59 · Distinct service | $91.20 | $91.20 | $151.36 |
Where Arizona sits
The same service costs 3.0 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· 34th of 51
$110
AK $245FL $81.28
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.