How much rates vary
Facilitymedian $589 · 10th to 90th $151 to $977Professionalmedian $229 · 10th to 90th $170 to $1,660
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 $194.98 Median $194.98 Typical High $380.19 | Facility | None | $194.98 | $194.98 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $169.82 | $169.82 | $323.59 |
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 $107.15 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $107.15 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $97.72 | $97.72 |
BCBS Arizona Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $977.24 | Facility | None | $151.36 | $660.69 | $977.24 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $234.42 | $234.42 | $446.68 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $83.18 | $154.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $151.36 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $173.78 | $194.98 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $125.89 | $234.42 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $831.76 | Facility | None | $169.82 | $186.21 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $181.97 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $69.18 | $724.44 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $114.82 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $169.82 | $208.93 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $74.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $131.83 | $208.93 |
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 $85.11 Median $85.11 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $33.88 | $41.69 |
Where Arizona sits
The same service costs 3.9 times more in Alaska 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· 31st of 51
$234
AK $468UT $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.