How much rates vary
Facilitymedian $93 · 10th to 90th $25 to $151Professionalmedian $39 · 10th to 90th $34 to $347
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 Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $35.48 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $12.88 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | TC · Technical part | $22.91 | $22.91 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $44.67 | Professional | None (both parts) | $33.11 | $38.90 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $23.44 Median $102.33 Typical High $151.36 | Facility | None | $23.44 | $102.33 | $151.36 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $29.51 | $38.90 | $51.29 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $13.49 | $17.78 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $33.11 | Professional | TC · Technical part | $19.05 | $25.70 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $56.23 | Professional | None (both parts) | $33.88 | $38.02 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $14.45 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $23.99 | $34.67 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $79.43 | Facility | None | $35.48 | $38.90 | $79.43 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $81.28 Typical High $346.74 | Professional | None (both parts) | $33.88 | $81.28 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $32.36 Typical High $89.13 | Professional | 26 · Professional part | $12.88 | $32.36 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $52.48 Typical High $199.53 | Professional | TC · Technical part | $20.89 | $52.48 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $51.29 | Professional | None (both parts) | $33.88 | $37.15 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $14.13 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $22.91 | $31.62 |
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 $19.05 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 59 · Distinct service | $42.66 | $42.66 | $42.66 |
Where Arizona sits
The same service costs 2.7 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· 42nd of 51
$38.90
MN $83.18UT $30.90
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.