How much rates vary
Facilitymedian $457 · 10th to 90th $178 to $1,148Professionalmedian $158 · 10th to 90th $117 to $1,175
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 $134.90 Median $263.03 Typical High $457.09 | Facility | None | $134.90 | $263.03 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $117.49 | $117.49 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $19.05 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $97.72 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $104.71 | $117.49 | $128.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $186.21 Median $812.83 Typical High $1,202.26 | Facility | None | $186.21 | $812.83 | $1,202.26 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $134.90 | $134.90 | $257.04 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $21.88 | $40.74 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $114.82 | $114.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $467.74 | Facility | None | $338.84 | $407.38 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $125.89 | $158.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $21.88 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $131.83 | $218.78 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $257.04 | Facility | None | $117.49 | $128.82 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $128.82 | $1,174.90 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $20.42 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $109.65 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $120.23 | $162.18 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $22.91 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $138.04 | $213.80 |
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 Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $104.71 | $128.82 | $128.82 |
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
$166
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.