How much rates vary
Facilitymedian $468 · 10th to 90th $141 to $871Professionalmedian $191 · 10th to 90th $132 to $1,349
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 $102.33 Median $131.83 Typical High $151.36 | Professional | None (both parts) | $102.33 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $32.36 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $100.00 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $134.90 Median $575.44 Typical High $870.96 | Facility | None | $134.90 | $575.44 | $870.96 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $173.78 | $173.78 | $323.59 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $42.66 | $79.43 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $131.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $524.81 | Facility | None | $251.19 | $416.87 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $154.88 | $181.97 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $28.84 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $151.36 | $263.03 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $295.12 | Facility | None | $131.83 | $144.54 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $151.36 | $1,348.96 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $26.30 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $125.89 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $144.54 | $190.55 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $30.20 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $120.23 | $162.18 | $245.47 |
3 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 Facility Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $63.10 | Facility | 53 · Discontinued | $28.84 | $30.90 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
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· 27th of 51
$191
AK $407UT $117
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.