How much rates vary
Facilitymedian $417 · 10th to 90th $155 to $1,072Professionalmedian $155 · 10th to 90th $112 to $1,047
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $112.20 | $112.20 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $20.89 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $91.20 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $165.96 Median $707.95 Typical High $1,071.52 | Facility | None | $165.96 | $707.95 | $1,071.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $125.89 | $125.89 | $239.88 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $23.99 | $44.67 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $102.33 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $416.87 | Facility | None | $251.19 | $363.08 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $123.03 | $147.91 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $23.44 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $123.03 | $208.93 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $245.47 | Facility | None | $112.20 | $123.03 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $125.89 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $19.95 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $100.00 | $912.01 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $112.20 | $154.88 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $138.04 | $190.55 |
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 $56.23 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.70 |
Where Arizona sits
The same service costs 3.3 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· 28th of 51
$158
AK $316UT $95.50
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.