How much rates vary
Facilitymedian $525 · 10th to 90th $123 to $776Professionalmedian $158 · 10th to 90th $123 to $457
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 $724.44 Median $724.44 Typical High $2,398.83 | Facility | None | $724.44 | $724.44 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $123.03 | $123.03 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $37.15 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $87.10 | $87.10 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $123.03 | $138.04 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $34.67 | $54.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $120.23 Median $524.81 Typical High $776.25 | Facility | None | $120.23 | $524.81 | $776.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $120.23 | $134.90 | $234.42 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $40.74 | $69.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $95.50 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $144.54 | $158.49 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $42.66 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $114.82 | $223.87 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $263.03 | Facility | None | $123.03 | $138.04 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $1,023.29 | Professional | None (both parts) | $151.36 | $275.42 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $77.62 Typical High $263.03 | Professional | 26 · Professional part | $39.81 | $77.62 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $776.25 | Professional | TC · Technical part | $109.65 | $204.17 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $144.54 | $194.98 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $54.95 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $144.54 | $208.93 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Where Arizona sits
The same service costs 3.3 times more in Alaska 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· 37th of 51
$158
AK $347TX $105
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.