How much rates vary
Facilitymedian $380 · 10th to 90th $93 to $603Professionalmedian $162 · 10th to 90th $117 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 Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $147.91 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $24.55 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $123.03 | $134.90 | $144.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $93.33 Median $407.38 Typical High $602.56 | Facility | None | $93.33 | $407.38 | $602.56 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $138.04 | $158.49 | $269.15 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $25.12 | $43.65 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $131.83 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $102.33 | $173.78 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $28.18 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $74.13 | $147.91 | $269.15 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $354.81 | Facility | None | $162.18 | $177.83 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $269.15 Typical High $954.99 | Professional | None (both parts) | $109.65 | $269.15 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $54.95 Typical High $602.56 | Professional | 26 · Professional part | $24.55 | $54.95 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $213.80 Typical High $794.33 | Professional | TC · Technical part | $81.28 | $213.80 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $100.00 | $131.83 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $104.71 | $213.80 |
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 $74.13 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $74.13 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $29.51 | $32.36 | $33.11 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 34th of 51
$162
AK $324KY $115
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.