How much rates vary
Facilitymedian $76 · 10th to 90th $39 to $107Professionalmedian $40 · 10th to 90th $33 to $54
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 $27.54 Median $38.02 Typical High $38.90 | Facility | None | $27.54 | $38.02 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $30.20 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.96 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $10.96 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $27.54 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $13.49 | $14.45 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
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 $39.81 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $39.81 | $39.81 | $51.29 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $10.96 | $10.96 | $14.13 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $28.84 | $28.84 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $134.90 | Facility | None | $38.90 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $28.84 | $33.88 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $7.08 | $9.33 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $24.55 | $47.86 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $15.49 | $16.98 |
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 $29.51 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $29.51 | $37.15 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $7.94 | $9.33 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $20.89 | $27.54 | $50.12 |
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 $15.85 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $7.76 | $7.76 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 30th of 51
$41.69
AK $112FL $28.84
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.