How much rates vary
Facilitymedian $107 · 10th to 90th $51 to $148Professionalmedian $55 · 10th to 90th $44 to $69
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 $45.71 Median $45.71 Typical High $60.26 | Facility | None | $45.71 | $45.71 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $37.15 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $16.22 | Professional | 26 · Professional part | $10.23 | $13.80 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $44.67 | Professional | TC · Technical part | $27.54 | $32.36 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
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 $43.65 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $43.65 | $43.65 | $56.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $12.88 | $12.88 | $16.60 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $30.90 | $30.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $181.97 | Facility | None | $41.69 | $60.26 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $36.31 | $45.71 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $32.36 | $53.70 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $56.23 | $66.07 | $77.62 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $56.23 | $56.23 |
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 $38.90 Median $46.77 Typical High $79.43 | Professional | None (both parts) | $38.90 | $46.77 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $12.88 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $33.88 | $58.88 |
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 $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.76 | $9.12 | $9.12 |
Where Arkansas sits
The same service costs 3.9 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· 22nd of 51
$56.23
AK $129UT $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.