How much rates vary
Facilitymedian $437 · 10th to 90th $112 to $692Professionalmedian $251 · 10th to 90th $178 to $1,585
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 $223.87 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $223.87 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $79.43 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $251.19 | $251.19 | $363.08 |
BCBS Arizona Setting Facility Modifier None Typical Low $107.15 Median $467.74 Typical High $691.83 | Facility | None | $107.15 | $467.74 | $691.83 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $154.88 | $177.83 | $309.03 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $100.00 | $173.78 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $77.62 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $245.47 | $263.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $165.96 Typical High $323.59 | Professional | 26 · Professional part | $147.91 | $165.96 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $97.72 | $194.98 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $524.81 | Facility | None | $223.87 | $245.47 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $1,584.89 | Professional | None (both parts) | $239.88 | $407.38 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $245.47 Typical High $977.24 | Professional | 26 · Professional part | $147.91 | $245.47 | $977.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $162.18 Typical High $616.60 | Professional | TC · Technical part | $95.50 | $162.18 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $229.09 | $269.15 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $141.25 | $162.18 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $109.65 | $181.97 |
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 $109.65 Median $109.65 Typical High $128.82 | Professional | 52 · Reduced service | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $44.67 | $52.48 |
Where Arizona sits
The same service costs 3.3 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
$251
AK $589TX $178
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.