How much rates vary
Facilitymedian $191 · 10th to 90th $174 to $372Professionalmedian $331 · 10th to 90th $245 to $407
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 $331.13 Median $446.68 Typical High $1,000.00 | Facility | None | $331.13 | $446.68 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $239.88 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $275.42 | Professional | TC · Technical part | $162.18 | $213.80 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $120.23 | $120.23 | $125.89 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $269.15 | $269.15 | $346.74 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $95.50 | $123.03 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $173.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $436.52 | Facility | None | $83.18 | $295.12 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $213.80 | $281.84 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $181.97 | $389.05 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 26 · Professional part | $138.04 | $138.04 | $144.54 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $218.78 | $354.81 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $83.18 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $245.47 | $398.11 |
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 $141.25 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $141.25 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $56.23 | $66.07 | $66.07 |
Where Arkansas sits
The same service costs 6.3 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· 30th of 51
$324
AK $851UT $135
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.