How much rates vary
Facilitymedian $347 · 10th to 90th $117 to $759Professionalmedian $95 · 10th to 90th $74 to $776
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 $74.13 Median $125.89 Typical High $295.12 | Facility | None | $74.13 | $125.89 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $74.13 | $77.62 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $10.72 | $11.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $66.07 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $64.57 | $72.44 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $9.77 | $9.77 | $16.60 |
BCBS Arizona Setting Facility Modifier None Typical Low $125.89 Median $537.03 Typical High $794.33 | Facility | None | $125.89 | $537.03 | $794.33 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $85.11 | $85.11 | $158.49 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $12.02 | $12.02 | $22.39 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $72.44 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $354.81 | Facility | None | $229.09 | $288.40 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $81.28 | $97.72 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $85.11 | $141.25 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $81.28 Typical High $162.18 | Facility | None | $74.13 | $81.28 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $83.18 | $776.25 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $11.48 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $70.79 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $74.13 | $102.33 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $10.96 | $12.88 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $64.57 | $91.20 | $141.25 |
4 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 $37.15 Median $37.15 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $14.79 | $16.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 59 · Distinct service | $56.23 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | XU · Unusual separate service | $85.11 | $85.11 | $85.11 |
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· 31st of 51
$100
AK $209UT $63.10
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.