How much rates vary
Facilitymedian $1,072 · 10th to 90th $224 to $1,738Professionalmedian $234 · 10th to 90th $182 to $3,981
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 $181.97 Median $181.97 Typical High $389.05 | Facility | None | $181.97 | $181.97 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $181.97 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $63.10 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $125.89 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $134.90 | $173.78 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $63.10 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $269.15 Median $1,174.90 Typical High $1,737.80 | Facility | None | $269.15 | $1,174.90 | $1,737.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $199.53 | $199.53 | $380.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $69.18 | $131.83 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $131.83 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $204.17 | $251.19 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $74.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $131.83 | $169.82 | $269.15 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $1,862.09 | Facility | None | $181.97 | $257.04 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $199.53 | $3,981.07 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $64.57 | $436.52 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $131.83 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $181.97 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $74.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $165.96 | $263.03 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 59 · Distinct service | $173.78 | $173.78 | $190.55 |
Where Arizona sits
The same service costs 6.3 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· 37th of 51
$240
MN $759UT $120
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.