How much rates vary
Facilitymedian $76 · 10th to 90th $34 to $107Professionalmedian $35 · 10th to 90th $28 to $44
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 $22.39 Median $26.92 Typical High $33.11 | Facility | None | $22.39 | $26.92 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $25.70 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $12.02 | Professional | 26 · Professional part | $7.59 | $10.72 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $26.30 | Professional | TC · Technical part | $18.62 | $22.39 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $57.54 | Professional | None (both parts) | $25.70 | $25.70 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $14.79 | $21.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | None (both parts) | $34.67 | $34.67 | $43.65 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $23.99 | $23.99 | $30.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $28.84 Typical High $47.86 | Professional | None (both parts) | $11.22 | $28.84 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $60.26 Typical High $134.90 | Facility | None | $31.62 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $54.95 | Professional | None (both parts) | $25.12 | $29.51 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $7.24 | $8.91 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $20.42 | $38.90 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $16.98 | $24.55 |
United Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $257.04 | Facility | None | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $25.70 | $31.62 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $9.77 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $17.38 | $22.91 | $40.74 |
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 $13.49 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.50 | $6.61 | $6.61 |
Where Arkansas sits
The same service costs 4.1 times more in Alaska than in New York. 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.
Arkansas· 33rd of 51
$34.67
AK $95.50NY $23.44
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.