How much rates vary
Facilitymedian $398 · 10th to 90th $363 to $724Professionalmedian $550 · 10th to 90th $355 to $631
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 $616.60 Median $870.96 Typical High $1,445.44 | Facility | None | $616.60 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $457.09 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $104.71 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $338.84 | $489.78 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
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 $426.58 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $426.58 | $426.58 | $549.54 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $95.50 | $123.03 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | TC · Technical part | $331.13 | $331.13 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $512.86 Typical High $724.44 | Facility | None | $165.96 | $512.86 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $309.03 | $446.68 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $79.43 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $724.44 | Professional | TC · Technical part | $245.47 | $309.03 | $724.44 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
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 $338.84 Median $549.54 Typical High $812.83 | Professional | None (both parts) | $338.84 | $549.54 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $87.10 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $457.09 | $724.44 |
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 $239.88 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $95.50 | $123.03 | $123.03 |
Where Arkansas sits
The same service costs 5.4 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· 25th of 51
$525
WY $1,318UT $245
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.