How much rates vary
Facilitymedian $447 · 10th to 90th $115 to $708Professionalmedian $162 · 10th to 90th $132 to $1,023
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 $158.49 Median $165.96 Typical High $346.74 | Facility | TC · Technical part | $158.49 | $165.96 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $32.36 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $107.15 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $112.20 | $117.49 | $147.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $109.65 Median $478.63 Typical High $707.95 | Facility | None | $109.65 | $478.63 | $707.95 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $154.88 | $154.88 | $288.40 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $42.66 | $81.28 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $112.20 | $112.20 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $123.03 | $162.18 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $38.02 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $123.03 | $218.78 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $676.08 | Facility | None | $141.25 | $154.88 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $131.83 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $34.67 | $281.84 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $97.72 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $125.89 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $37.15 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $114.82 | $194.98 |
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 $70.79 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Where Arizona sits
The same service costs 3.0 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
$162
AK $380UT $129
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.