How much rates vary
Facilitymedian $1,585 · 10th to 90th $501 to $19,055Professionalmedian $229 · 10th to 90th $195 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 $977.24 Median $6,606.93 Typical High $44,668.36 | Facility | None | $977.24 | $6,606.93 | $44,668.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $199.53 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $144.54 | $144.54 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $56.23 | $56.23 | $70.79 |
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 None (both parts) Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $158.49 | $158.49 | $316.23 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $158.49 | $316.23 |
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 $213.80 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $213.80 | $223.87 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $154.88 | $162.18 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $63.10 | $100.00 |
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 $213.80 Median $309.03 Typical High $5,370.32 | Professional | None (both parts) | $213.80 | $309.03 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $1,023.29 | Professional | 26 · Professional part | $151.36 | $218.78 | $1,023.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $5,128.61 | Professional | TC · Technical part | $61.66 | $91.20 | $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 $204.17 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $204.17 | $239.88 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $144.54 | $169.82 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $69.18 | $123.03 |
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 $100.00 Median $100.00 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $39.81 | $39.81 | $45.71 |
Where Arizona sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 7th of 51
$617
LA $1,288AL $224
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.