How much rates vary
Facilitymedian $741 · 10th to 90th $200 to $1,230Professionalmedian $331 · 10th to 90th $257 to $2,239
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 $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $316.23 | $316.23 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $51.29 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $263.03 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $190.55 Median $831.76 Typical High $1,230.27 | Facility | None | $190.55 | $831.76 | $1,230.27 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $275.42 | $316.23 | $549.54 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $48.98 | $85.11 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $269.15 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $239.88 | $363.08 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $58.88 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $302.00 | $562.34 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $954.99 | Facility | None | $316.23 | $346.74 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $645.65 Typical High $2,238.72 | Professional | None (both parts) | $239.88 | $645.65 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $117.49 Typical High $776.25 | Professional | 26 · Professional part | $50.12 | $117.49 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $524.81 Typical High $1,862.09 | Professional | TC · Technical part | $186.21 | $524.81 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $218.78 | $316.23 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $56.23 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $169.82 | $263.03 | $489.78 |
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 $158.49 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | 53 · Discontinued | $63.10 | $63.10 | $70.79 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 41st of 51
$331
AK $776NM $240
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.