How much rates vary
Facilitymedian $107 · 10th to 90th $52 to $148Professionalmedian $59 · 10th to 90th $48 to $76
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 $52.48 Median $52.48 Typical High $60.26 | Facility | None | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $43.65 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $20.42 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $30.20 | $32.36 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $64.57 | $67.61 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $25.70 | Professional | 26 · Professional part | $20.42 | $24.55 | $25.70 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $43.65 | $51.29 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $54.95 | $54.95 | $69.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $20.42 | $20.42 | $25.70 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $33.88 | $33.88 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.95 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $19.95 | $41.69 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $100.00 Typical High $181.97 | Facility | None | $45.71 | $100.00 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $40.74 | $48.98 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $16.98 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $32.36 | $56.23 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $63.10 | $74.13 | $87.10 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $28.18 | $29.51 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $33.88 | $50.12 | $58.88 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $42.66 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $16.98 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $33.88 | $60.26 |
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 $21.88 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $21.88 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.71 | $10.47 | $10.47 |
Where Arkansas sits
The same service costs 4.5 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· 18th of 51
$64.57
AK $148UT $33.11
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.