How much rates vary
Facilitymedian $813 · 10th to 90th $245 to $1,514Professionalmedian $302 · 10th to 90th $234 to $1,905
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 TC · Technical part Typical Low $281.84 Median $302.00 Typical High $616.60 | Facility | TC · Technical part | $281.84 | $302.00 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $218.78 | $234.42 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $40.74 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $190.55 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $186.21 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $1,513.56 | Facility | None | $234.42 | $1,000.00 | $1,513.56 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $275.42 | $275.42 | $512.86 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $46.77 | $87.10 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $229.09 | $229.09 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $891.25 | Facility | None | $549.54 | $776.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $257.04 | $288.40 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $45.71 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $208.93 | $245.47 | $426.58 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $512.86 | Facility | None | $234.42 | $257.04 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $263.03 | $1,905.46 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $43.65 | $588.84 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $218.78 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $245.47 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $204.17 | $257.04 | $398.11 |
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 $117.49 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $117.49 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $46.77 | $51.29 |
Where Arizona sits
The same service costs 3.0 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· 32nd of 51
$302
AK $646UT $214
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.