How much rates vary
Facilitymedian $100 · 10th to 90th $25 to $158Professionalmedian $71 · 10th to 90th $58 to $457
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 $46.77 Median $48.98 Typical High $102.33 | Facility | TC · Technical part | $46.77 | $48.98 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None (both parts) | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $33.11 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $38.90 | Professional | TC · Technical part | $28.84 | $31.62 | $38.90 |
BCBS Setting Facility Modifier None Typical Low $24.55 Median $104.71 Typical High $158.49 | Facility | None | $24.55 | $104.71 | $158.49 |
BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $53.70 | $70.79 | $102.33 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $36.31 | $52.48 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $26.30 | $34.67 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $61.66 | $74.13 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $37.15 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $36.31 | $58.88 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $147.91 | Facility | None | $64.57 | $70.79 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $57.54 | $457.09 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $33.88 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $20.89 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $54.95 | $63.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $26.92 | $48.98 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Where Arizona sits
The same service costs 3.3 times more in Alaska 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· 39th of 51
$70.79
AK $162UT $48.98
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.