How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $269Professionalmedian $191 · 10th to 90th $141 to $257
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 $190.55 Median $213.80 Typical High $1,000.00 | Facility | None | $190.55 | $213.80 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $147.91 | $190.55 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $61.66 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $125.89 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $194.98 | $194.98 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $64.57 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $131.83 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $131.83 | $147.91 |
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 $151.36 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $151.36 | $151.36 | $194.98 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $50.12 | $50.12 | $64.57 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $102.33 | $102.33 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $52.48 | $107.15 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $177.83 Typical High $288.40 | Facility | None | $48.98 | $177.83 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $123.03 | $177.83 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $52.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $123.03 | $269.15 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $223.87 | $223.87 | $239.88 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $74.13 | $83.18 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $151.36 | $169.82 |
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 $125.89 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $125.89 | $208.93 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $57.54 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $151.36 | $269.15 |
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 $83.18 Median $95.50 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $54.95 | Professional | 53 · Discontinued | $33.11 | $38.02 | $54.95 |
Where Arkansas sits
The same service costs 4.9 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· 32nd of 51
$191
AK $513UT $105
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.