How much rates vary
Facilitymedian $107 · 10th to 90th $51 to $148Professionalmedian $52 · 10th to 90th $44 to $71
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 $50.12 Median $50.12 Typical High $58.88 | Facility | None | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $39.81 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $11.75 | $18.20 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $32.36 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $60.26 | $60.26 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | 26 · Professional part | $21.88 | $21.88 | $22.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $48.98 | $48.98 | $61.66 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $21.38 | Professional | 26 · Professional part | $16.60 | $16.60 | $21.38 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $31.62 | $31.62 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $181.97 | Facility | None | $40.74 | $60.26 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $38.02 | $43.65 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $27.54 | Professional | 26 · Professional part | $11.75 | $15.14 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $30.90 | $56.23 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $69.18 | $69.18 | $74.13 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $85.11 | Professional | None (both parts) | $40.74 | $48.98 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $12.88 | $14.79 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $33.11 | $58.88 |
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 $20.42 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $10.00 | $10.00 |
Where Arkansas sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 18th of 51
$60.26
AK $132UT $32.36
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.