How much rates vary
Facilitymedian $741 · 10th to 90th $204 to $2,818Professionalmedian $275 · 10th to 90th $186 to $5,623
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $186.21 | $186.21 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $72.44 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $120.23 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $81.28 | $112.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $4,365.16 | Facility | None | $707.95 | $1,659.59 | $4,365.16 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $95.50 | $95.50 | $151.36 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $95.50 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $208.93 | $218.78 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $77.62 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $141.25 | $251.19 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $1,905.46 | Facility | None | $190.55 | $354.81 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $5,623.41 | Professional | None (both parts) | $251.19 | $363.08 | $5,623.41 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $912.01 | Professional | 26 · Professional part | $75.86 | $107.15 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $5,495.41 | Professional | TC · Technical part | $173.78 | $257.04 | $5,495.41 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $245.47 | $288.40 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $199.53 | $346.74 |
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 $93.33 Median $93.33 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $37.15 | $42.66 |
Where Arizona sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 24th of 51
$324
WI $776OR $182
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.