How much rates vary
Facilitymedian $123 · 10th to 90th $29 to $204Professionalmedian $33 · 10th to 90th $23 to $646
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $46.77 | Professional | None (both parts) | $22.91 | $22.91 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $6.61 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | TC · Technical part | $16.22 | $16.22 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $19.50 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $10.47 | Professional | 26 · Professional part | $5.75 | $5.75 | $10.47 |
BCBS Arizona Setting Facility Modifier None Typical Low $30.20 Median $131.83 Typical High $194.98 | Facility | None | $30.20 | $131.83 | $194.98 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $54.95 | Professional | None (both parts) | $29.51 | $29.51 | $54.95 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $8.91 | $8.91 | $16.60 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $20.42 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $26.30 | $33.11 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $7.94 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $23.44 | $41.69 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $33.11 Typical High $512.86 | Facility | None | $22.91 | $33.11 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.70 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $25.70 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $7.08 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $18.20 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $23.44 | $30.20 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $12.59 | Professional | 26 · Professional part | $6.46 | $7.76 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $21.38 | $38.90 |
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 $11.48 Median $11.48 Typical High $13.49 | Professional | 52 · Reduced service | $11.48 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.37 |
Where Arizona sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 31st of 51
$33.88
MN $69.18MD $25.70
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.