How much rates vary
Facilitymedian $363 · 10th to 90th $245 to $501Professionalmedian $138 · 10th to 90th $120 to $186
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 $138.04 Median $138.04 Typical High $165.96 | Facility | None | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $117.49 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $93.33 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
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 $138.04 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $138.04 | $138.04 | $177.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $33.88 | $42.66 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $104.71 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $363.08 Typical High $616.60 | Facility | None | $134.90 | $363.08 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $93.33 | $125.89 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $95.50 | $181.97 |
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 $117.49 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $117.49 | $138.04 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $32.36 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $109.65 | $173.78 |
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 $58.88 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $27.54 | $28.84 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska 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· 32nd of 51
$141
AK $355TX $100
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.