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 Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $141.25 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $72.44 | $72.44 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $67.61 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $40.74 Median $173.78 Typical High $263.03 | Facility | None | $40.74 | $173.78 | $263.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $131.83 | $151.36 | $257.04 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $75.86 | $128.82 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $74.13 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $114.82 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $85.11 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $37.15 | $85.11 | $165.96 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $691.83 | Facility | None | $141.25 | $154.88 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $323.59 Typical High $1,047.13 | Professional | None (both parts) | $120.23 | $323.59 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $169.82 Typical High $512.86 | Professional | 26 · Professional part | $72.44 | $169.82 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $165.96 Typical High $549.54 | Professional | TC · Technical part | $39.81 | $165.96 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $109.65 | $151.36 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $36.31 | $77.62 | $141.25 |
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 $70.79 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $28.18 | $33.88 |
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· 44th of 51
$151
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.