How much rates vary
Facilitymedian $550 · 10th to 90th $200 to $2,188Professionalmedian $162 · 10th to 90th $100 to $5,754
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 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $100.00 | $100.00 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $47.86 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $53.70 | $53.70 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $2,187.76 | Facility | None | $354.81 | $831.76 | $2,187.76 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $74.13 | $74.13 | $120.23 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $74.13 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $112.20 | $117.49 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $56.23 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $61.66 | $125.89 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $1,905.46 | Facility | None | $125.89 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $5,754.40 | Professional | None (both parts) | $144.54 | $204.17 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $660.69 | Professional | 26 · Professional part | $54.95 | $83.18 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $5,495.41 | Professional | TC · Technical part | $89.13 | $128.82 | $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 $141.25 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $141.25 | $173.78 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $70.79 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $102.33 | $158.49 |
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 $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Where Arizona sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 11th of 51
$240
WI $417VA $110
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.