How much rates vary
Facilitymedian $955 · 10th to 90th $229 to $1,585Professionalmedian $269 · 10th to 90th $162 to $1,230
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 $162.18 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $162.18 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $81.28 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $79.43 | $79.43 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $245.47 Median $1,071.52 Typical High $1,584.89 | Facility | None | $245.47 | $1,071.52 | $1,584.89 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $89.13 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $169.82 | $190.55 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $95.50 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $93.33 | $177.83 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $363.08 | Facility | None | $162.18 | $177.83 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $245.47 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $87.10 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $234.42 | $269.15 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $95.50 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $177.83 | $288.40 |
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 53 · Discontinued Typical Low $23.44 Median $24.55 Typical High $51.29 | Facility | 53 · Discontinued | $23.44 | $24.55 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $32.36 | $32.36 | $37.15 |
Where Arizona sits
The same service costs 3.1 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· 27th of 51
$269
AK $537NY $174
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.