How much rates vary
Facilitymedian $398 · 10th to 90th $363 to $741Professionalmedian $447 · 10th to 90th $331 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 $537.03 Median $870.96 Typical High $1,445.44 | Facility | None | $537.03 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $426.58 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $154.88 | Professional | 26 · Professional part | $109.65 | $144.54 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $389.05 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
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 $346.74 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $346.74 | $346.74 | $446.68 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $102.33 | $131.83 |
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 $162.18 Median $380.19 Typical High $741.31 | Facility | None | $162.18 | $380.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $776.25 | Professional | None (both parts) | $263.03 | $389.05 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $85.11 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $190.55 | $281.84 | $645.65 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
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 $512.86 Typical High $776.25 | Professional | None (both parts) | $275.42 | $512.86 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $95.50 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $354.81 | $660.69 |
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 $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $213.80 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $107.15 | $107.15 |
Where Arkansas sits
The same service costs 5.6 times more in Wyoming than in Texas. 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· 28th of 51
$447
WY $1,072TX $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.