How much rates vary
Facilitymedian $123 · 10th to 90th $31 to $191Professionalmedian $83 · 10th to 90th $71 to $562
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 $79.43 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $79.43 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $39.81 | $39.81 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $38.90 | $38.90 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $70.79 | $74.13 | $102.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $29.51 Median $128.82 Typical High $190.55 | Facility | None | $29.51 | $128.82 | $190.55 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $72.44 | $83.18 | $144.54 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $41.69 | $70.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $37.15 | $42.66 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $67.61 | $93.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $46.77 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $25.12 | $45.71 | $77.62 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $181.97 | Facility | None | $79.43 | $87.10 | $181.97 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $162.18 Typical High $562.34 | Professional | None (both parts) | $70.79 | $162.18 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $91.20 Typical High $316.23 | Professional | 26 · Professional part | $39.81 | $91.20 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $77.62 Typical High $316.23 | Professional | TC · Technical part | $26.92 | $77.62 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $64.57 | $79.43 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $25.12 | $38.02 | $70.79 |
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 $39.81 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $15.85 | $18.20 |
Where Arizona sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 37th of 51
$83.18
AK $219AL $67.61
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.