How much rates vary
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 Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 26 · Professional part | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $45.71 | $45.71 | $50.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $120.23 Median $524.81 Typical High $776.25 | Facility | None | $120.23 | $524.81 | $776.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $144.54 | $194.98 | $275.42 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $144.54 | $204.17 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $51.29 | $72.44 |
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 $169.82 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $169.82 | $199.53 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $147.91 Typical High $302.00 | Professional | 26 · Professional part | $123.03 | $147.91 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $43.65 | $52.48 | $123.03 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $1,412.54 Typical High $30,199.52 | Facility | None | $194.98 | $1,412.54 | $30,199.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $186.21 | $1,258.93 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $138.04 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $47.86 | $512.86 | $512.86 |
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 $173.78 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $173.78 | $269.15 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $173.78 Typical High $281.84 | Professional | 26 · Professional part | $128.82 | $173.78 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $89.13 | $125.89 |
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 $89.13 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $35.48 | $38.02 |
Where Arizona sits
The same service costs 3.5 times more in Alaska 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· 34th of 51
$234
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.