How much rates vary
Facilitymedian $347 · 10th to 90th $85 to $575Professionalmedian $71 · 10th to 90th $59 to $813
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $134.90 | Professional | None (both parts) | $60.26 | $60.26 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $114.82 | Professional | TC · Technical part | $43.65 | $43.65 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $63.10 | Professional | None (both parts) | $45.71 | $56.23 | $63.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $89.13 Median $389.05 Typical High $575.44 | Facility | None | $89.13 | $389.05 | $575.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $54.95 Median $63.10 Typical High $107.15 | Professional | None (both parts) | $54.95 | $63.10 | $107.15 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $16.98 | $28.84 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $45.71 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $154.88 | Professional | None (both parts) | $63.10 | $70.79 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $19.50 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $51.29 | $120.23 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $131.83 | Facility | None | $60.26 | $66.07 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $165.96 Typical High $812.83 | Professional | None (both parts) | $64.57 | $165.96 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $38.02 Typical High $416.87 | Professional | 26 · Professional part | $16.60 | $38.02 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $138.04 Typical High $562.34 | Professional | TC · Technical part | $45.71 | $138.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $58.88 | $102.33 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $16.22 | $18.20 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $85.11 | $125.89 |
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 $30.20 Median $30.20 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $14.79 | Professional | 53 · Discontinued | $12.02 | $12.02 | $14.79 |
Where Arizona sits
The same service costs 3.2 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· 44th of 51
$70.79
AK $162TX $51.29
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.