How much rates vary
Facilitymedian $776 · 10th to 90th $245 to $1,549Professionalmedian $275 · 10th to 90th $224 to $1,622
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 TC · Technical part Typical Low $275.42 Median $295.12 Typical High $602.56 | Facility | TC · Technical part | $275.42 | $295.12 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $223.87 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $34.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $190.55 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $251.19 Median $1,096.48 Typical High $1,621.81 | Facility | None | $251.19 | $1,096.48 | $1,621.81 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $251.19 | $251.19 | $478.63 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $38.02 | $70.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $213.80 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $870.96 | Facility | None | $281.84 | $724.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $239.88 | $269.15 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $229.09 | $389.05 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $489.78 | Facility | None | $223.87 | $245.47 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $251.19 | $1,621.81 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $36.31 | $234.42 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $213.80 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $229.09 | $269.15 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $229.09 | $371.54 |
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 $112.20 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $44.67 | $52.48 |
Where Arizona sits
The same service costs 3.1 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· 36th of 51
$275
AK $631UT $204
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.