How much rates vary
Facilitymedian $135 · 10th to 90th $34 to $214Professionalmedian $62 · 10th to 90th $54 to $724
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 $138.04 Median $138.04 Typical High $147.91 | Facility | None | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | None (both parts) | $57.54 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $25.12 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | TC · Technical part | $33.11 | $33.11 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $61.66 | $61.66 | $66.07 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.11 Median $141.25 Typical High $213.80 | Facility | None | $33.11 | $141.25 | $213.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $48.98 | $64.57 | $85.11 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $26.92 | $35.48 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $38.02 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $53.70 | $61.66 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $27.54 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $33.88 | $50.12 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $131.83 | Facility | None | $57.54 | $63.10 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $131.83 Typical High $724.44 | Professional | None (both parts) | $54.95 | $131.83 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $63.10 Typical High $331.13 | Professional | 26 · Professional part | $25.12 | $63.10 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $66.07 Typical High $562.34 | Professional | TC · Technical part | $28.18 | $66.07 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $51.29 | $57.54 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $27.54 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $30.20 | $41.69 |
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 $28.84 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.02 |
Where Arizona sits
The same service costs 3.6 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· 43rd of 51
$61.66
MN $141TX $38.90
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.