How much rates vary
Facilitymedian $110 · 10th to 90th $27 to $174Professionalmedian $79 · 10th to 90th $60 to $562
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $66.07 | $72.44 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $33.88 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $38.02 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $64.57 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | 26 · Professional part | $32.36 | $32.36 | $34.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $26.30 Median $112.20 Typical High $169.82 | Facility | None | $26.30 | $112.20 | $169.82 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $60.26 | $79.43 | $114.82 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $38.02 | $53.70 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $42.66 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $69.18 | $83.18 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $38.90 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $23.44 | $44.67 | $69.18 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $204.17 | Facility | None | $72.44 | $79.43 | $204.17 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $57.54 | $562.34 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $34.67 | $234.42 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $19.95 | $288.40 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $56.23 | $67.61 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $18.62 | $28.84 | $58.88 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Where Arizona sits
The same service costs 3.4 times more in Alaska 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· 30th of 51
$79.43
AK $182NY $53.70
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.