How much rates vary
Facilitymedian $871 · 10th to 90th $224 to $1,380Professionalmedian $407 · 10th to 90th $309 to $2,754
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 $457.09 Median $660.69 Typical High $954.99 | Facility | None | $457.09 | $660.69 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $389.05 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $77.62 | $77.62 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $295.12 | $323.59 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $457.09 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $457.09 | $676.08 | $676.08 |
BCBS Arizona Setting Facility Modifier None Typical Low $213.80 Median $933.25 Typical High $1,380.38 | Facility | None | $213.80 | $933.25 | $1,380.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $346.74 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $346.74 | $398.11 | $676.08 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $74.13 | $125.89 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $281.84 | $323.59 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $295.12 | $457.09 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $89.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $363.08 Typical High $676.08 | Professional | TC · Technical part | $208.93 | $363.08 | $676.08 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $891.25 | Facility | None | $407.38 | $446.68 | $891.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $758.58 Typical High $2,754.23 | Professional | None (both parts) | $295.12 | $758.58 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $173.78 Typical High $776.25 | Professional | 26 · Professional part | $77.62 | $173.78 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $616.60 Typical High $2,187.76 | Professional | TC · Technical part | $208.93 | $616.60 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $707.95 | Professional | None (both parts) | $269.15 | $389.05 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $309.03 | $575.44 |
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 $199.53 Median $199.53 Typical High $218.78 | Professional | 52 · Reduced service | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $81.28 | $89.13 |
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· 44th of 51
$407
AK $977NM $302
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.