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 Facility Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $173.78 | Facility | TC · Technical part | $81.28 | $85.11 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | 26 · Professional part | $51.29 | $51.29 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $295.12 Typical High $436.52 | Facility | None | $67.61 | $295.12 | $436.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $87.10 | $117.49 | $165.96 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $54.95 | $79.43 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $46.77 | $61.66 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $95.50 | $114.82 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $57.54 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $47.86 | $57.54 | $104.71 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $239.88 | Facility | None | $104.71 | $114.82 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $102.33 | $851.14 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $52.48 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $48.98 | $562.34 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $95.50 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $45.71 | $54.95 | $97.72 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.38 |
Where Arizona sits
The same service costs 3.8 times more in Minnesota 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· 41st of 51
$117
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.