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 $19.05 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $19.05 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $12.59 Typical High $12.59 | Professional | TC · Technical part | $10.47 | $12.59 | $12.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.59 Median $53.70 Typical High $81.28 | Facility | None | $12.59 | $53.70 | $81.28 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $14.45 Median $19.50 Typical High $27.54 | Professional | None (both parts) | $14.45 | $19.50 | $27.54 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $6.17 | $8.32 | $11.75 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $11.22 Typical High $15.85 | Professional | TC · Technical part | $8.32 | $11.22 | $15.85 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $40.74 | Facility | None | $20.42 | $22.39 | $40.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $17.38 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $17.38 | $114.82 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $7.41 | $114.82 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $9.55 | $70.79 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.05 Typical High $33.11 | Professional | None (both parts) | $16.60 | $19.05 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $14.13 | Professional | 26 · Professional part | $7.24 | $8.32 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.47 Typical High $18.20 | Professional | TC · Technical part | $8.91 | $10.47 | $18.20 |
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 $9.55 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $9.55 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.80 | $4.07 | $4.07 |
Where Arizona sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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
$19.95
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.