How much rates vary
Facilitymedian $107 · 10th to 90th $62 to $148Professionalmedian $56 · 10th to 90th $46 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 $53.70 Median $53.70 Typical High $61.66 | Facility | None | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $41.69 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $38.90 | Professional | TC · Technical part | $28.18 | $32.36 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $26.92 | $26.92 |
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 $56.23 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $56.23 | $56.23 | $70.79 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $33.88 | $33.88 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $100.00 Typical High $181.97 | Facility | None | $46.77 | $100.00 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $38.02 | $51.29 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $12.88 | $18.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $25.12 | $30.90 | $52.48 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $25.12 | $30.90 |
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 $39.81 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $39.81 | $47.86 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $16.98 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $31.62 | $56.23 |
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 $19.50 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $19.50 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $7.76 | $10.72 | $10.72 |
Where Arkansas sits
The same service costs 4.0 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· 27th of 51
$56.23
AK $132UT $33.11
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.