How much rates vary
Facilitymedian $214 · 10th to 90th $55 to $339Professionalmedian $117 · 10th to 90th $100 to $724
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $100.00 | $100.00 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $58.88 | $58.88 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $41.69 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $107.15 | $309.03 | $309.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $52.48 Median $229.09 Typical High $338.84 | Facility | None | $52.48 | $229.09 | $338.84 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $87.10 | $100.00 | $169.82 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $56.23 | $95.50 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $43.65 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $109.65 | $117.49 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $50.12 | $100.00 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $234.42 | Facility | None | $100.00 | $109.65 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $190.55 Typical High $724.44 | Professional | None (both parts) | $109.65 | $190.55 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $416.87 | Professional | 26 · Professional part | $61.66 | $104.71 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $316.23 | Professional | TC · Technical part | $48.98 | $83.18 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $107.15 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $69.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $54.95 | $91.20 |
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 $23.99 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.99 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$117
AK $275UT $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.