How much rates vary
Facilitymedian $174 · 10th to 90th $43 to $295Professionalmedian $52 · 10th to 90th $35 to $631
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 $35.48 Median $40.74 Typical High $138.04 | Facility | None | $35.48 | $40.74 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $35.48 | $35.48 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $9.12 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $26.30 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $33.88 | $38.02 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $13.18 | Professional | 26 · Professional part | $9.12 | $9.12 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $45.71 Median $194.98 Typical High $295.12 | Facility | None | $45.71 | $194.98 | $295.12 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $30.20 | $39.81 | $52.48 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $9.77 | $12.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $38.90 | $38.90 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $10.23 | $10.23 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $56.23 | Professional | TC · Technical part | $28.18 | $28.18 | $56.23 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $446.68 | Facility | None | $35.48 | $51.29 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $114.82 Typical High $630.96 | Professional | None (both parts) | $53.70 | $114.82 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.84 Typical High $223.87 | Professional | 26 · Professional part | $12.30 | $28.84 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $93.33 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $93.33 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $51.29 | $57.54 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $12.59 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $44.67 | $56.23 |
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 $17.78 Median $17.78 Typical High $19.95 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.94 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.20 Median $42.66 Typical High $42.66 | Professional | 59 · Distinct service | $30.20 | $42.66 | $42.66 |
Where Arizona sits
The same service costs 3.3 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· 35th of 51
$52.48
MN $105UT $31.62
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.