How much rates vary
Facilitymedian $646 · 10th to 90th $200 to $1,318Professionalmedian $214 · 10th to 90th $166 to $1,585
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 $165.96 Median $190.55 Typical High $616.60 | Facility | None | $165.96 | $190.55 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $165.96 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $31.62 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $147.91 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $162.18 | $169.82 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $25.12 | $31.62 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $213.80 Median $933.25 Typical High $1,380.38 | Facility | None | $213.80 | $933.25 | $1,380.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $186.21 | $186.21 | $354.81 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $33.11 | $61.66 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $154.88 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $724.44 | Facility | None | $501.19 | $602.56 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $186.21 | $223.87 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $186.21 | $309.03 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $912.01 | Facility | None | $165.96 | $239.88 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $186.21 | $1,584.89 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $31.62 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $154.88 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $169.82 | $239.88 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $35.48 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $204.17 | $295.12 |
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 $83.18 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $33.88 | $33.88 | $38.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 59 · Distinct service | $162.18 | $162.18 | $177.83 |
Where Arizona sits
The same service costs 3.5 times more in Minnesota 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· 32nd of 51
$224
MN $550UT $158
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.