How much rates vary
Facilitymedian $2,455 · 10th to 90th $603 to $4,074Professionalmedian $589 · 10th to 90th $282 to $2,455
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 Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $549.54 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $114.82 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | TC · Technical part | $524.81 | $524.81 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $2,754.23 Typical High $4,073.80 | Facility | None | $630.96 | $2,754.23 | $4,073.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,318.26 | Professional | None (both parts) | $691.83 | $691.83 | $1,318.26 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $128.82 | $128.82 | $239.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $1,071.52 | Professional | TC · Technical part | $562.34 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $257.04 | $281.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $125.89 | $138.04 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $141.25 | $239.88 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $616.60 Typical High $1,778.28 | Facility | None | $338.84 | $616.60 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $346.74 | $2,454.71 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $125.89 | $1,148.15 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $186.21 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $302.00 | $549.54 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $144.54 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $162.18 | $436.52 | $758.58 |
3 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 Facility Modifier 52 · Reduced service Typical Low $389.05 Median $407.38 Typical High $831.76 | Facility | 52 · Reduced service | $389.05 | $407.38 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $109.65 | $120.23 |
Where Arizona sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 16th of 51
$603
AK $1,000WA $324
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.