How much rates vary
Facilitymedian $776 · 10th to 90th $234 to $1,514Professionalmedian $269 · 10th to 90th $214 to $1,950
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 $213.80 Median $269.15 Typical High $741.31 | Facility | None | $213.80 | $269.15 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $199.53 | $213.80 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $33.88 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $181.97 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $162.18 | $229.09 | $263.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $251.19 Median $1,071.52 Typical High $1,621.81 | Facility | None | $251.19 | $1,071.52 | $1,621.81 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $239.88 | $239.88 | $457.09 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $38.02 | $70.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $204.17 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $831.76 | Facility | None | $549.54 | $741.31 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $234.42 | $281.84 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $36.31 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $245.47 | $398.11 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $1,071.52 | Facility | None | $213.80 | $269.15 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $245.47 | $1,949.84 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $28.84 | $398.11 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $208.93 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $223.87 | $288.40 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $36.31 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $263.03 | $380.19 |
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 $107.15 Median $107.15 Typical High $114.82 | Professional | 52 · Reduced service | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 53 · Discontinued | $42.66 | $42.66 | $45.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 59 · Distinct service | $229.09 | $229.09 | $229.09 |
Where Arizona sits
The same service costs 3.2 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
$275
AK $603UT $191
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.