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 Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $812.83 | Facility | None | $407.38 | $478.63 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $323.59 | $354.81 | $524.81 |
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 $302.00 Typical High $446.68 | Professional | TC · Technical part | $263.03 | $302.00 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $281.84 | $363.08 | $398.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $741.31 Typical High $1,096.48 | Facility | None | $169.82 | $741.31 | $1,096.48 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $302.00 | $346.74 | $588.84 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $47.86 | $81.28 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $257.04 | $295.12 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $208.93 | $407.38 | $741.31 |
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 $154.88 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $154.88 | $346.74 | $630.96 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $1,071.52 | Facility | None | $354.81 | $389.05 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $676.08 Typical High $2,454.71 | Professional | None (both parts) | $218.78 | $676.08 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $50.12 | $114.82 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $588.84 Typical High $2,089.30 | Professional | TC · Technical part | $165.96 | $588.84 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $199.53 | $323.59 | $616.60 |
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 $151.36 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $275.42 | $537.03 |
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 $177.83 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $177.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $70.79 | $79.43 |
Where Arizona sits
The same service costs 3.0 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· 42nd of 51
$355
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.