How much rates vary
Facilitymedian $813 · 10th to 90th $234 to $3,311Professionalmedian $282 · 10th to 90th $245 to $2,951
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 Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $245.47 | $245.47 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $89.13 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $158.49 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $91.20 | $123.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $645.65 Median $1,548.82 Typical High $4,073.80 | Facility | None | $645.65 | $1,548.82 | $4,073.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $95.50 | $95.50 | $151.36 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $95.50 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $263.03 | $275.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $95.50 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $177.83 | $177.83 | $275.42 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $2,344.23 | Facility | None | $177.83 | $371.54 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $380.19 Typical High $2,951.21 | Professional | None (both parts) | $257.04 | $380.19 | $2,951.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $1,445.44 | Professional | 26 · Professional part | $85.11 | $117.49 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $2,818.38 | Professional | TC · Technical part | $173.78 | $257.04 | $2,818.38 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $251.19 | $295.12 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $194.98 | $338.84 |
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 $123.03 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $48.98 | $54.95 |
Where Arizona sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 23rd of 51
$347
WI $891HI $138
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.