How much rates vary
Facilitymedian $1,905 · 10th to 90th $525 to $19,055Professionalmedian $204 · 10th to 90th $174 to $5,370
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 $2,089.30 Median $7,943.28 Typical High $35,481.34 | Facility | None | $2,089.30 | $7,943.28 | $35,481.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $173.78 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | 26 · Professional part | $104.71 | $104.71 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $69.18 | $69.18 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $616.60 Median $1,479.11 Typical High $3,890.45 | Facility | None | $616.60 | $1,479.11 | $3,890.45 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $114.82 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $17,378.01 Typical High $24,547.09 | Facility | None | $1,584.89 | $17,378.01 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $190.55 | $199.53 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $112.20 | $120.23 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $79.43 | $120.23 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $933.25 Typical High $7,585.78 | Facility | None | $316.23 | $933.25 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $5,370.32 | Professional | None (both parts) | $181.97 | $263.03 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $741.31 | Professional | 26 · Professional part | $107.15 | $158.49 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $5,128.61 | Professional | TC · Technical part | $75.86 | $109.65 | $5,128.61 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,380.38 Typical High $19,054.61 | Facility | None | $501.19 | $1,380.38 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $177.83 | $204.17 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $104.71 | $123.03 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $83.18 | $151.36 |
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 $87.10 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $34.67 | $34.67 | $39.81 |
Where Arizona sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 8th of 51
$646
OK $4,786HI $158
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.