How much rates vary
Facilitymedian $2,042 · 10th to 90th $245 to $19,055Professionalmedian $209 · 10th to 90th $98 to $12,882
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 $97.72 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $97.72 | $97.72 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $74.13 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $24.55 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $74.13 | $138.04 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $6,918.31 | Facility | None | $1,122.02 | $2,630.27 | $6,918.31 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $81.28 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $18,197.01 Median $21,877.62 Typical High $24,547.09 | Facility | None | $18,197.01 | $21,877.62 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $112.20 | $120.23 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $57.54 | Professional | TC · Technical part | $27.54 | $28.84 | $57.54 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $524.81 Typical High $10,715.19 | Facility | None | $138.04 | $524.81 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $2,089.30 Typical High $12,882.50 | Professional | None (both parts) | $162.18 | $2,089.30 | $12,882.50 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $5,888.44 | Professional | 26 · Professional part | $112.20 | $165.96 | $5,888.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $1,949.84 Typical High $12,022.64 | Professional | TC · Technical part | $38.90 | $1,949.84 | $12,022.64 |
United Setting Facility Modifier None Typical Low $177.83 Median $562.34 Typical High $19,054.61 | Facility | None | $177.83 | $562.34 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $338.84 Typical High $2,630.27 | Professional | None (both parts) | $147.91 | $338.84 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $131.83 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $218.78 Typical High $2,454.71 | Professional | TC · Technical part | $37.15 | $218.78 | $2,454.71 |
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 $48.98 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $19.50 | $23.99 |
Where Arizona sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 6th of 51
$617
TN $2,344SC $126
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.