How much rates vary
Facilitymedian $759 · 10th to 90th $191 to $1,202Professionalmedian $407 · 10th to 90th $275 to $2,884
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 $467.74 Typical High $954.99 | Facility | None | $407.38 | $467.74 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $354.81 | $407.38 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $302.00 | $363.08 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $416.87 | $467.74 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $69.18 | $69.18 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $186.21 Median $812.83 Typical High $1,202.26 | Facility | None | $186.21 | $812.83 | $1,202.26 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $346.74 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $346.74 | $398.11 | $691.83 |
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 $309.03 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $354.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $223.87 | $467.74 | $851.14 |
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 $158.49 Median $407.38 Typical High $741.31 | Professional | TC · Technical part | $158.49 | $407.38 | $741.31 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,621.81 | Facility | None | $407.38 | $446.68 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $812.83 Typical High $2,884.03 | Professional | None (both parts) | $229.09 | $812.83 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $51.29 | $114.82 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $724.44 Typical High $2,511.89 | Professional | TC · Technical part | $169.82 | $724.44 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $204.17 | $380.19 | $724.44 |
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 $162.18 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $331.13 | $630.96 |
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 $204.17 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $81.28 | $91.20 |
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· 43rd of 51
$407
AK $933NM $309
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.