How much rates vary
Facilitymedian $3,715 · 10th to 90th $479 to $24,547Professionalmedian $363 · 10th to 90th $295 to $5,495
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 $302.00 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $302.00 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 26 · Professional part | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $75.86 | $169.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $229.09 Median $1,000.00 Typical High $1,479.11 | Facility | None | $229.09 | $1,000.00 | $1,479.11 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $251.19 | $338.84 | $478.63 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $251.19 | $363.08 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $85.11 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $12,302.69 Median $21,877.62 Typical High $24,547.09 | Facility | None | $12,302.69 | $21,877.62 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $288.40 | $346.74 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $478.63 | Professional | 26 · Professional part | $218.78 | $257.04 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $85.11 | $234.42 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $2,398.83 Typical High $30,199.52 | Facility | None | $331.13 | $2,398.83 | $30,199.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $331.13 | $5,495.41 | $5,495.41 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $2,884.03 Typical High $2,884.03 | Professional | 26 · Professional part | $234.42 | $2,884.03 | $2,884.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $5,128.61 Typical High $5,128.61 | Professional | TC · Technical part | $79.43 | $5,128.61 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $18,197.01 Typical High $22,908.68 | Facility | None | $1,479.11 | $18,197.01 | $22,908.68 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $660.69 | Professional | None (both parts) | $302.00 | $389.05 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $257.04 Typical High $457.09 | Professional | 26 · Professional part | $223.87 | $257.04 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $134.90 | $251.19 |
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 $151.36 Median $151.36 Typical High $162.18 | Professional | 52 · Reduced service | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $60.26 | $64.57 |
Where Arizona sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 35th of 51
$398
WI $813UT $240
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.