How much rates vary
Facilitymedian $3,715 · 10th to 90th $617 to $25,704Professionalmedian $479 · 10th to 90th $398 to $4,467
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 $398.11 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $398.11 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 26 · Professional part | $158.49 | $158.49 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $234.42 | $234.42 | $275.42 |
BCBS Arizona Setting Facility Modifier None Typical Low $338.84 Median $1,445.44 Typical High $2,187.76 | Facility | None | $338.84 | $1,445.44 | $2,187.76 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $131.83 | $173.78 | $251.19 |
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 $371.54 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $371.54 | $446.68 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $338.84 | Professional | 26 · Professional part | $151.36 | $181.97 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $269.15 | $501.19 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,412.54 Typical High $30,199.52 | Facility | None | $398.11 | $1,412.54 | $30,199.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $436.52 | $4,466.84 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $2,089.30 Typical High $2,089.30 | Professional | 26 · Professional part | $169.82 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $269.15 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $812.83 Median $17,782.79 Typical High $22,908.68 | Facility | None | $812.83 | $17,782.79 | $22,908.68 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $426.58 | $467.74 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $309.03 | Professional | 26 · Professional part | $158.49 | $186.21 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $288.40 | $524.81 |
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 $199.53 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $79.43 | $83.18 |
Where Arizona sits
The same service costs 3.0 times more in Wisconsin than in North 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· 34th of 51
$513
WI $1,000NC $331
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.