How much rates vary
Facilitymedian $1,023 · 10th to 90th $263 to $1,660Professionalmedian $363 · 10th to 90th $302 to $2,344
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $323.59 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $295.12 | $371.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $257.04 Median $1,096.48 Typical High $1,659.59 | Facility | None | $257.04 | $1,096.48 | $1,659.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $323.59 | $371.54 | $630.96 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $42.66 | $72.44 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $288.40 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $309.03 | $380.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $47.86 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $338.84 | $616.60 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $741.31 | Facility | None | $338.84 | $371.54 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $524.81 Typical High $2,344.23 | Professional | None (both parts) | $295.12 | $524.81 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $72.44 Typical High $281.84 | Professional | 26 · Professional part | $40.74 | $72.44 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $457.09 Typical High $2,041.74 | Professional | TC · Technical part | $251.19 | $457.09 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $288.40 | $331.13 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $537.03 | Professional | TC · Technical part | $245.47 | $288.40 | $537.03 |
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 $165.96 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $67.61 | $74.13 |
Where Arizona sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$372
AK $813NM $275
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.