How much rates vary
Facilitymedian $331 · 10th to 90th $129 to $871Professionalmedian $166 · 10th to 90th $107 to $1,072
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 Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $107.15 | $107.15 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $53.70 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $52.48 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $81.28 | $154.88 | $154.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $138.04 Median $588.84 Typical High $891.25 | Facility | None | $138.04 | $588.84 | $891.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $123.03 | $123.03 | $234.42 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $61.66 | $114.82 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $61.66 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $331.13 | Facility | None | $190.55 | $239.88 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $114.82 | $151.36 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $60.26 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $75.86 | $144.54 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $117.49 Typical High $245.47 | Facility | None | $107.15 | $117.49 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $120.23 | $1,071.52 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $56.23 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $58.88 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $109.65 | $162.18 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $63.10 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $91.20 | $138.04 |
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 Facility Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $33.88 | Facility | 53 · Discontinued | $15.49 | $16.60 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.99 |
Where Arizona sits
The same service costs 4.6 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· 23rd of 51
$170
AK $316UT $69.18
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.