How much rates vary
Facilitymedian $398 · 10th to 90th $363 to $741Professionalmedian $447 · 10th to 90th $282 to $603
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 $501.19 Median $870.96 Typical High $1,445.44 | Facility | None | $501.19 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $338.84 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $109.65 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $239.88 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $354.81 | $354.81 | $446.68 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $104.71 | $104.71 | $134.90 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $245.47 | $245.47 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $389.05 Typical High $741.31 | Facility | None | $165.96 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $912.01 | Professional | None (both parts) | $245.47 | $380.19 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $93.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $741.31 | Professional | TC · Technical part | $177.83 | $263.03 | $741.31 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
United Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,047.13 | Facility | None | $457.09 | $575.44 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $275.42 | $524.81 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $97.72 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $194.98 | $346.74 | $691.83 |
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 $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $85.11 | $100.00 | $100.00 |
Where Arkansas sits
The same service costs 5.9 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
$447
WY $1,122UT $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.