How much rates vary
Facilitymedian $195 · 10th to 90th $174 to $468Professionalmedian $468 · 10th to 90th $316 to $537
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 $380.19 Median $467.74 Typical High $1,000.00 | Facility | None | $380.19 | $467.74 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $323.59 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $354.81 | Professional | TC · Technical part | $218.78 | $331.13 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $213.80 | $213.80 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
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 $112.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $112.20 | $112.20 | $141.25 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $275.42 | $275.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $588.84 | Facility | None | $83.18 | $338.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $275.42 | $380.19 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $91.20 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $199.53 | $275.42 | $549.54 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $162.18 | $181.97 | $245.47 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $316.23 | $467.74 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $229.09 | $371.54 | $537.03 |
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 $162.18 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $162.18 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $64.57 | $93.33 | $93.33 |
Where Arkansas sits
The same service costs 6.2 times more in Alaska 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
$417
AK $1,047UT $170
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.