How much rates vary
Facilitymedian $245 · 10th to 90th $224 to $501Professionalmedian $380 · 10th to 90th $275 to $513
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 $467.74 Median $467.74 Typical High $1,445.44 | Facility | None | $467.74 | $467.74 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $281.84 | $467.74 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $87.10 | $120.23 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $346.74 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $354.81 | Professional | None (both parts) | $295.12 | $346.74 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $109.65 | $109.65 | $114.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $239.88 | $239.88 | $407.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $295.12 | $295.12 | $380.19 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $87.10 | $87.10 | $109.65 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $208.93 | $269.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $89.13 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $89.13 | $194.98 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $323.59 Typical High $645.65 | Facility | None | $114.82 | $323.59 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $234.42 | $331.13 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $70.79 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $158.49 | $251.19 | $616.60 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $398.11 | $398.11 | $467.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 26 · Professional part | $125.89 | $125.89 | $131.83 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $275.42 | $275.42 | $467.74 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $234.42 | $436.52 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $79.43 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $165.96 | $309.03 | $602.56 |
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 $190.55 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $93.33 | $93.33 |
Where Arkansas sits
The same service costs 6.0 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· 36th of 51
$363
WY $912UT $151
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.