How much rates vary
Facilitymedian $76 · 10th to 90th $34 to $107Professionalmedian $28 · 10th to 90th $23 to $38
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 $26.92 Median $26.92 Typical High $263.03 | Facility | None | $26.92 | $26.92 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $35.48 | Professional | None (both parts) | $21.38 | $26.92 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.00 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $10.00 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.98 Typical High $23.99 | Professional | TC · Technical part | $14.13 | $16.98 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | None (both parts) | $28.18 | $33.11 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $15.85 | $21.38 | $21.38 |
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 $27.54 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $27.54 | $27.54 | $35.48 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.88 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | TC · Technical part | $17.78 | $17.78 | $22.39 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.55 Median $17.38 Typical High $31.62 | Professional | None (both parts) | $9.55 | $17.38 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $60.26 Typical High $134.90 | Facility | None | $23.99 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $40.74 | Professional | None (both parts) | $19.05 | $25.12 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $8.13 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.49 Typical High $26.30 | Professional | TC · Technical part | $12.30 | $15.49 | $26.30 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | None (both parts) | $32.36 | $38.02 | $40.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $13.80 | $13.80 | $14.79 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $18.62 | $24.55 | $24.55 |
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 $19.05 Median $23.44 Typical High $39.81 | Professional | None (both parts) | $19.05 | $23.44 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $14.45 | Professional | 26 · Professional part | $7.08 | $8.32 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.49 Typical High $27.54 | Professional | TC · Technical part | $12.02 | $15.49 | $27.54 |
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 $9.33 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $9.33 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $3.72 | $5.37 | $5.37 |
Where Arkansas sits
The same service costs 3.7 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· 19th of 51
$29.51
AK $64.57FL $17.38
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.