How much rates vary
Facilitymedian $490 · 10th to 90th $148 to $1,023Professionalmedian $166 · 10th to 90th $120 to $1,230
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 $120.23 Median $120.23 Typical High $275.42 | Facility | None | $120.23 | $120.23 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $120.23 | $120.23 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $20.42 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $100.00 | $100.00 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $114.82 | $134.90 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $158.49 Median $676.08 Typical High $1,023.29 | Facility | None | $158.49 | $676.08 | $1,023.29 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $141.25 | $141.25 | $269.15 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $23.99 | $44.67 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $501.19 | Facility | None | $251.19 | $398.11 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $141.25 | $169.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $42.66 | Professional | 26 · Professional part | $18.62 | $22.39 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $147.91 | $245.47 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $602.56 | Facility | None | $120.23 | $131.83 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $144.54 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $19.50 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $120.23 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $131.83 | $181.97 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $22.91 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $165.96 | $234.42 |
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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Where Arizona sits
The same service costs 3.7 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· 26th of 51
$170
AK $355UT $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.