How much rates vary
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 $501.19 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $501.19 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $380.19 | $398.11 | $489.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $354.81 Median $1,513.56 Typical High $2,290.87 | Facility | None | $354.81 | $1,513.56 | $2,290.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $478.63 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $478.63 | $549.54 | $933.25 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $109.65 | $190.55 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $380.19 | $436.52 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $1,047.13 | Professional | None (both parts) | $478.63 | $575.44 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $239.88 | Professional | 26 · Professional part | $112.20 | $123.03 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $457.09 Typical High $794.33 | Professional | TC · Technical part | $363.08 | $457.09 | $794.33 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,122.02 | Facility | None | $501.19 | $549.54 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $794.33 Typical High $3,548.13 | Professional | None (both parts) | $457.09 | $794.33 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $186.21 Typical High $741.31 | Professional | 26 · Professional part | $107.15 | $186.21 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $616.60 Typical High $2,754.23 | Professional | TC · Technical part | $346.74 | $616.60 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $436.52 | $501.19 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $389.05 Typical High $724.44 | Professional | TC · Technical part | $331.13 | $389.05 | $724.44 |
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 $251.19 Median $251.19 Typical High $281.84 | Professional | 52 · Reduced service | $251.19 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 53 · Discontinued | $100.00 | $100.00 | $112.20 |
Where Arizona sits
The same service costs 3.1 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· 33rd of 51
$550
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.