How much rates vary
Facilitymedian $191 · 10th to 90th $174 to $447Professionalmedian $417 · 10th to 90th $324 to $550
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 $416.87 Median $537.03 Typical High $1,000.00 | Facility | None | $416.87 | $537.03 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $323.59 | $416.87 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $131.83 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $288.40 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $134.90 | $134.90 | $141.25 |
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 $346.74 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $346.74 | $346.74 | $446.68 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $107.15 | $138.04 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $239.88 | $239.88 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $616.60 | Facility | None | $83.18 | $338.84 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $275.42 | $363.08 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $89.13 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $245.47 | $524.81 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | 26 · Professional part | $154.88 | $154.88 | $169.82 |
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 $288.40 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $288.40 | $467.74 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $95.50 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $346.74 | $588.84 |
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 $158.49 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $63.10 | $83.18 | $83.18 |
Where Arkansas sits
The same service costs 6.0 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· 27th of 51
$417
AK $1,023TX $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.