How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,096 to $25,119Professionalmedian $355 · 10th to 90th $275 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 $7,585.78 Typical High $38,904.51 | Facility | None | $977.24 | $7,585.78 | $38,904.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $275.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 26 · Professional part | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $60.26 | $70.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $3,019.95 Median $7,244.36 Typical High $19,054.61 | Facility | None | $3,019.95 | $7,244.36 | $19,054.61 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $467.74 | Professional | 26 · Professional part | $239.88 | $239.88 | $467.74 |
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 $323.59 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $323.59 | $338.84 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $263.03 Typical High $416.87 | Professional | 26 · Professional part | $251.19 | $263.03 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $74.13 | $117.49 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $4,168.69 Typical High $10,715.19 | Facility | None | $645.65 | $4,168.69 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $5,370.32 | Professional | None (both parts) | $309.03 | $446.68 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $331.13 Typical High $2,344.23 | Professional | 26 · Professional part | $229.09 | $331.13 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $5,011.87 | Professional | TC · Technical part | $77.62 | $117.49 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $30,902.95 | Facility | None | $1,096.48 | $5,128.61 | $30,902.95 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $309.03 | $363.08 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $229.09 | $269.15 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $91.20 | $154.88 |
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 $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $54.95 | $64.57 |
Where Arizona sits
The same service costs 9.5 times more in Louisiana than in New York. 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· 2nd of 51
$3,020
LA $3,090NY $324
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.