How much rates vary
Facilitymedian $257 · 10th to 90th $65 to $407Professionalmedian $151 · 10th to 90th $135 to $955
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $134.90 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $56.23 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $63.10 Median $269.15 Typical High $407.38 | Facility | None | $63.10 | $269.15 | $407.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $125.89 | $144.54 | $245.47 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $83.18 | $141.25 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $53.70 | $61.66 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $141.25 | $162.18 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $91.20 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $69.18 | $123.03 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $316.23 | Facility | None | $134.90 | $147.91 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $954.99 | Professional | None (both parts) | $138.04 | $229.09 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $537.03 | Professional | 26 · Professional part | $81.28 | $138.04 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $416.87 | Professional | TC · Technical part | $56.23 | $95.50 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $131.83 | $151.36 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $91.20 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $53.70 | $63.10 | $114.82 |
3 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 $67.61 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $26.92 | $31.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $123.03 Median $141.25 Typical High $151.36 | Professional | 59 · Distinct service | $123.03 | $141.25 | $151.36 |
Where Arizona sits
The same service costs 3.6 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· 41st of 51
$151
AK $380TX $105
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.