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 Facility Modifier None Typical Low $15,848.93 Median $35,481.34 Typical High $44,668.36 | Facility | None | $15,848.93 | $35,481.34 | $44,668.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 26 · Professional part | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | TC · Technical part | $41.69 | $41.69 | $45.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $77.62 Median $331.13 Typical High $501.19 | Facility | None | $77.62 | $331.13 | $501.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $213.80 | $288.40 | $407.38 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $239.88 Typical High $338.84 | Professional | 26 · Professional part | $177.83 | $239.88 | $338.84 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $46.77 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $245.47 | $295.12 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $467.74 | Professional | 26 · Professional part | $208.93 | $245.47 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $40.74 | $47.86 | $102.33 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $630.96 | Facility | None | $257.04 | $281.84 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $257.04 | $3,548.13 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $1,479.11 Typical High $1,479.11 | Professional | 26 · Professional part | $223.87 | $1,479.11 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $2,137.96 Typical High $2,137.96 | Professional | TC · Technical part | $33.88 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $245.47 | $288.40 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $234.42 Typical High $426.58 | Professional | 26 · Professional part | $213.80 | $234.42 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $107.15 | Professional | TC · Technical part | $31.62 | $41.69 | $107.15 |
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 $128.82 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $51.29 | $53.70 |
Where Arizona sits
The same service costs 3.3 times more in Minnesota 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· 41st of 51
$295
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.