How much rates vary
Facilitymedian $135 · 10th to 90th $35 to $214Professionalmedian $79 · 10th to 90th $51 to $447
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 $67.61 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | 26 · Professional part | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $47.86 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
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 $79.43 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $79.43 | $104.71 | $138.04 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $15.85 | $21.38 | $27.54 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $83.18 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $48.98 | $81.28 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $19.95 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $30.90 | $61.66 | $77.62 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $177.83 | Facility | None | $79.43 | $87.10 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $141.25 Typical High $446.68 | Professional | None (both parts) | $50.12 | $141.25 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $41.69 Typical High $323.59 | Professional | 26 · Professional part | $16.98 | $41.69 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $107.15 Typical High $346.74 | Professional | TC · Technical part | $31.62 | $107.15 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $45.71 | $61.66 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $25.70 | Professional | 26 · Professional part | $16.60 | $18.62 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $29.51 | $43.65 | $66.07 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Where Arizona sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 32nd of 51
$79.43
ND $186KY $53.70
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.