How much rates vary
Facilitymedian $234 · 10th to 90th $32 to $380Professionalmedian $32 · 10th to 90th $21 to $724
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 $23.99 Median $35.48 Typical High $309.03 | Facility | None | $23.99 | $35.48 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $21.38 Typical High $47.86 | Professional | None (both parts) | $20.89 | $21.38 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $2.82 Typical High $5.50 | Professional | 26 · Professional part | $2.82 | $2.82 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $19.05 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | None (both parts) | $20.89 | $22.91 | $23.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.16 Typical High $4.79 | Professional | 26 · Professional part | $3.16 | $3.16 | $4.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $245.47 Typical High $371.54 | Facility | None | $57.54 | $245.47 | $371.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | None (both parts) | $24.55 | $24.55 | $46.77 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $4.68 Typical High $8.71 | Professional | 26 · Professional part | $4.68 | $4.68 | $8.71 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $19.95 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $89.13 | Professional | None (both parts) | $24.55 | $31.62 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.55 Typical High $6.17 | Professional | 26 · Professional part | $3.24 | $3.55 | $6.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $85.11 | Professional | TC · Technical part | $20.89 | $26.92 | $85.11 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $707.95 | Facility | None | $20.89 | $30.20 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $23.99 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $23.99 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $3.16 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $20.89 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.84 Typical High $85.11 | Professional | None (both parts) | $21.88 | $28.84 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.63 Typical High $5.62 | Professional | 26 · Professional part | $2.95 | $3.63 | $5.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $79.43 | Professional | TC · Technical part | $19.05 | $25.12 | $79.43 |
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 Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 52 · Reduced service | $10.47 | $10.47 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.37 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $18.62 Median $19.95 Typical High $22.91 | Professional | 59 · Distinct service | $18.62 | $19.95 | $22.91 |
Where Arizona sits
The same service costs 2.9 times more in Kansas 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· 34th of 51
$33.11
KS $74.13MD $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.