How much rates vary
Facilitymedian $100 · 10th to 90th $25 to $174Professionalmedian $32 · 10th to 90th $24 to $398
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 $25.12 Median $28.18 Typical High $83.18 | Facility | None | $25.12 | $28.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | None (both parts) | $25.12 | $25.12 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $10.47 | Professional | 26 · Professional part | $7.41 | $7.41 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $17.38 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $31.62 | Professional | None (both parts) | $20.42 | $22.91 | $31.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $25.70 Median $112.20 Typical High $165.96 | Facility | None | $25.70 | $112.20 | $165.96 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $20.42 Median $27.54 Typical High $36.31 | Professional | None (both parts) | $20.42 | $27.54 | $36.31 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.76 Typical High $10.23 | Professional | 26 · Professional part | $5.89 | $7.76 | $10.23 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $25.70 | Professional | TC · Technical part | $14.79 | $19.50 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $26.92 | $26.92 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $8.13 | $11.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $18.62 | $33.11 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $32.36 Typical High $398.11 | Facility | None | $25.12 | $32.36 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $72.44 Typical High $398.11 | Professional | None (both parts) | $30.90 | $72.44 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $18.62 Typical High $131.83 | Professional | 26 · Professional part | $7.41 | $18.62 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $134.90 | Professional | TC · Technical part | $23.99 | $54.95 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $30.20 | $33.11 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $7.94 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $33.11 | Professional | TC · Technical part | $22.91 | $25.70 | $33.11 |
4 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 $12.30 Median $12.30 Typical High $13.80 | Professional | 52 · Reduced service | $12.30 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.50 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.50 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.88 Median $24.55 Typical High $26.30 | Professional | 59 · Distinct service | $21.88 | $24.55 | $26.30 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | XU · Unusual separate service | $30.20 | $30.20 | $30.20 |
Where Arizona sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 38th of 51
$31.62
MN $67.61TX $26.92
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.