How much rates vary
Facilitymedian $76 · 10th to 90th $38 to $107Professionalmedian $36 · 10th to 90th $32 to $50
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 $22.39 Median $26.92 Typical High $35.48 | Facility | None | $22.39 | $26.92 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $50.12 | Professional | None (both parts) | $28.84 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $12.88 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $20.42 | $22.39 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $29.51 | $29.51 | $34.67 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $36.31 | $36.31 | $46.77 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $12.88 | $12.88 | $16.22 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $23.99 | $23.99 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $60.26 Typical High $134.90 | Facility | None | $33.88 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $26.92 | $34.67 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $10.72 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $21.38 | $38.90 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
United Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $257.04 | Facility | None | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $10.72 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $24.55 | $42.66 |
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 $14.45 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $14.45 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.08 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 35th of 51
$36.31
AK $95.50FL $26.92
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.