How much rates vary
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 $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $112.20 Median $478.63 Typical High $724.44 | Facility | None | $112.20 | $478.63 | $724.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $35.48 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $35.48 | $47.86 | $63.10 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.24 Typical High $9.55 | Professional | 26 · Professional part | $5.50 | $7.24 | $9.55 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $40.74 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $269.15 | $309.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $109.65 | $125.89 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $162.18 | $186.21 | $263.03 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $316.23 Typical High $660.69 | Facility | None | $288.40 | $316.23 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $1,862.09 | Professional | None (both parts) | $263.03 | $363.08 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $741.31 | Professional | 26 · Professional part | $102.33 | $138.04 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $223.87 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $245.47 | $288.40 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $109.65 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $173.78 | $234.42 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Where Arizona sits
The same service costs 9.8 times more in Alaska than in New York. 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· 40th of 51
$288
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.