How much rates vary
Facilitymedian $457 · 10th to 90th $151 to $977Professionalmedian $158 · 10th to 90th $120 to $1,202
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 $144.54 Median $154.88 Typical High $316.23 | Facility | TC · Technical part | $144.54 | $154.88 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $120.23 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $20.89 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $100.00 | $100.00 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $125.89 | $147.91 | $147.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $162.18 Median $630.96 Typical High $1,047.13 | Facility | None | $162.18 | $630.96 | $1,047.13 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $147.91 | $147.91 | $218.78 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $25.12 | $37.15 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $123.03 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $512.86 | Facility | None | $251.19 | $398.11 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $144.54 | $144.54 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $22.91 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $120.23 | $204.17 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $602.56 | Facility | None | $120.23 | $151.36 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $1,202.26 | Professional | None (both parts) | $144.54 | $263.03 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $34.67 Typical High $199.53 | Professional | 26 · Professional part | $11.75 | $34.67 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $1,122.02 | Professional | TC · Technical part | $120.23 | $234.42 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $134.90 | $177.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $19.95 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $165.96 | $204.17 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.99 | $23.99 | $24.55 |
Where Arizona sits
The same service costs 3.7 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· 31st of 51
$158
AK $363UT $97.72
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.