How much rates vary
Facilitymedian $417 · 10th to 90th $132 to $912Professionalmedian $151 · 10th to 90th $112 to $1,023
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 $239.88 Median $239.88 Typical High $389.05 | Facility | None | $239.88 | $239.88 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $112.20 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $20.89 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $89.13 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $81.28 | $128.82 | $128.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $141.25 Median $602.56 Typical High $912.01 | Facility | None | $141.25 | $602.56 | $912.01 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $123.03 | $123.03 | $229.09 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $23.44 | $43.65 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $100.00 | $100.00 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $416.87 | Facility | None | $251.19 | $363.08 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $120.23 | $144.54 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $15.14 | $22.91 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $125.89 | $213.80 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $245.47 | Facility | None | $112.20 | $123.03 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $125.89 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $15.85 | $204.17 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $100.00 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $114.82 | $151.36 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $22.39 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $138.04 | $194.98 |
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 $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
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· 25th of 51
$155
AK $302UT $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.