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 $562.34 Median $645.65 Typical High $691.83 | Professional | None (both parts) | $562.34 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | 26 · Professional part | $199.53 | $199.53 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $446.68 Typical High $467.74 | Professional | TC · Technical part | $346.74 | $446.68 | $467.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $177.83 Median $758.58 Typical High $1,148.15 | Facility | None | $177.83 | $758.58 | $1,148.15 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $616.60 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $616.60 | $707.95 | $1,202.26 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $208.93 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $208.93 | $363.08 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $501.19 Typical High $851.14 | Professional | TC · Technical part | $436.52 | $501.19 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $707.95 Typical High $1,288.25 | Professional | None (both parts) | $346.74 | $707.95 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $234.42 Typical High $457.09 | Professional | 26 · Professional part | $194.98 | $234.42 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $478.63 Typical High $851.14 | Professional | TC · Technical part | $138.04 | $478.63 | $851.14 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $707.95 Typical High $1,445.44 | Facility | None | $645.65 | $707.95 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,148.15 Typical High $3,981.07 | Professional | None (both parts) | $363.08 | $1,148.15 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $457.09 Typical High $1,412.54 | Professional | 26 · Professional part | $199.53 | $457.09 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $724.44 Typical High $2,570.40 | Professional | TC · Technical part | $154.88 | $724.44 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $1,047.13 | Professional | None (both parts) | $338.84 | $512.86 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $218.78 Typical High $389.05 | Professional | 26 · Professional part | $190.55 | $218.78 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $309.03 Typical High $676.08 | Professional | TC · Technical part | $141.25 | $309.03 | $676.08 |
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 $288.40 Median $323.59 Typical High $331.13 | Professional | 52 · Reduced service | $288.40 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $128.82 | $131.83 |
Where Arizona sits
The same service costs 3.2 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· 32nd of 51
$661
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.