How much rates vary
Facilitymedian $661 · 10th to 90th $661 to $1,202Professionalmedian $513 · 10th to 90th $331 to $617
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 $588.84 Median $794.33 Typical High $1,659.59 | Facility | None | $588.84 | $794.33 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $588.84 Typical High $676.08 | Professional | None (both parts) | $389.05 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $134.90 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $457.09 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | 26 · Professional part | $123.03 | $123.03 | $131.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Facility | None | $660.69 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $407.38 | $407.38 | $524.81 |
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 $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 $100.00 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $100.00 | $288.40 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $478.63 Typical High $1,380.38 | Facility | None | $208.93 | $478.63 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $288.40 | $426.58 | $812.83 |
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 $229.09 Median $288.40 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $288.40 | $707.95 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $141.25 | $141.25 | $151.36 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $2,344.23 | Facility | None | $1,023.29 | $1,288.25 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $812.83 | Professional | None (both parts) | $316.23 | $524.81 | $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 $245.47 Median $426.58 Typical High $691.83 | Professional | TC · Technical part | $245.47 | $426.58 | $691.83 |
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 $234.42 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $234.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $93.33 | $117.49 | $117.49 |
Where Arkansas sits
The same service costs 5.4 times more in Wyoming 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· 22nd of 51
$525
WY $1,259TX $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.