How much rates vary
Facilitymedian $141 · 10th to 90th $35 to $219Professionalmedian $110 · 10th to 90th $89 to $794
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 Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $52.48 | $54.95 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.11 Median $144.54 Typical High $213.80 | Facility | None | $33.11 | $144.54 | $213.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $97.72 | $109.65 | $190.55 |
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 $54.95 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $54.95 | $63.10 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $87.10 | $120.23 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $53.70 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $66.07 Typical High $131.83 | Professional | TC · Technical part | $38.90 | $66.07 | $131.83 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $229.09 | Facility | None | $100.00 | $109.65 | $229.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $223.87 Typical High $794.33 | Professional | None (both parts) | $83.18 | $223.87 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $104.71 Typical High $371.54 | Professional | 26 · Professional part | $45.71 | $104.71 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $125.89 Typical High $478.63 | Professional | TC · Technical part | $34.67 | $125.89 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $77.62 | $107.15 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $50.12 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $33.11 | $58.88 | $107.15 |
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 $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Where Arizona sits
The same service costs 3.9 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· 42nd of 51
$110
AK $282TX $72.44
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.