How much rates vary
Facilitymedian $407 · 10th to 90th $132 to $891Professionalmedian $135 · 10th to 90th $107 to $1,047
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 $107.15 Median $123.03 Typical High $416.87 | Facility | None | $107.15 | $123.03 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $107.15 | $112.20 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $19.05 | $20.42 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $93.33 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $85.11 | $112.20 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $19.95 | $25.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $138.04 Median $602.56 Typical High $891.25 | Facility | None | $138.04 | $602.56 | $891.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $117.49 | $117.49 | $223.87 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $20.89 | $39.81 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $97.72 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $407.38 | Facility | None | $251.19 | $363.08 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $117.49 | $144.54 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $21.88 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $117.49 | $194.98 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $724.44 | Facility | None | $107.15 | $154.88 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $117.49 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $20.42 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $95.50 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $107.15 | $151.36 | $218.78 |
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 $87.10 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $125.89 | $190.55 |
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 $53.70 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $21.38 | $24.55 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 59 · Distinct service | $112.20 | $112.20 | $112.20 |
Where Arizona sits
The same service costs 4.0 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· 33rd of 51
$138
MN $380UT $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.