How much rates vary
Facilitymedian $245 · 10th to 90th $224 to $603Professionalmedian $437 · 10th to 90th $275 to $525
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 $467.74 Median $870.96 Typical High $1,445.44 | Facility | None | $467.74 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $537.03 | Professional | None (both parts) | $371.54 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $251.19 | $346.74 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $346.74 | $346.74 | $436.52 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $87.10 | $112.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $257.04 | $257.04 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $389.05 Typical High $602.56 | Facility | None | $114.82 | $389.05 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $239.88 | $363.08 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $72.44 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $263.03 | $524.81 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $676.08 | Professional | None (both parts) | $269.15 | $446.68 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $81.28 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $354.81 | $549.54 |
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 $213.80 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $213.80 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $85.11 | $93.33 | $93.33 |
Where Arkansas sits
The same service costs 5.5 times more in Wyoming 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· 29th of 51
$427
WY $1,047UT $191
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.