How much rates vary
Facilitymedian $195 · 10th to 90th $174 to $380Professionalmedian $316 · 10th to 90th $224 to $389
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 $316.23 Median $354.81 Typical High $1,000.00 | Facility | None | $316.23 | $354.81 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $371.54 | Professional | None (both parts) | $251.19 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $93.33 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $181.97 | $218.78 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $95.50 | $95.50 | $102.33 |
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 $263.03 Median $263.03 Typical High $338.84 | Professional | None (both parts) | $263.03 | $263.03 | $338.84 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $74.13 | $95.50 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $186.21 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $77.62 | $208.93 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $398.11 | Facility | None | $83.18 | $338.84 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $194.98 | $269.15 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $190.55 | $380.19 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | 26 · Professional part | $109.65 | $109.65 | $117.49 |
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 $218.78 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $218.78 | $338.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $257.04 | $389.05 |
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 $144.54 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $63.10 | $64.57 |
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· 30th of 51
$302
AK $794UT $178
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.