How much rates vary
Facilitymedian $251 · 10th to 90th $224 to $617Professionalmedian $457 · 10th to 90th $316 to $562
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 $457.09 Median $616.60 Typical High $1,445.44 | Facility | None | $457.09 | $616.60 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $371.54 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $346.74 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $102.33 | $102.33 | $114.82 |
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 $389.05 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $389.05 | $389.05 | $501.19 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $309.03 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $83.18 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $83.18 | $275.42 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $436.52 Typical High $660.69 | Facility | None | $114.82 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $275.42 | $407.38 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $66.07 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $288.40 | $616.60 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $117.49 | $117.49 | $131.83 |
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 $302.00 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $302.00 | $501.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $72.44 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $426.58 Typical High $602.56 | Professional | TC · Technical part | $245.47 | $426.58 | $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 $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $91.20 | $91.20 |
Where Arkansas sits
The same service costs 5.1 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
$457
WY $1,202UT $234
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.