How much rates vary
Facilitymedian $174 · 10th to 90th $117 to $240Professionalmedian $145 · 10th to 90th $110 to $182
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 $120.23 Median $131.83 Typical High $162.18 | Facility | None | $120.23 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $151.36 | Professional | None (both parts) | $102.33 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $43.65 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $100.00 | Professional | TC · Technical part | $70.79 | $89.13 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $61.66 | $64.57 |
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 $144.54 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $144.54 | $144.54 | $181.97 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $43.65 | $56.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $100.00 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $50.12 | $100.00 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $302.00 | Facility | None | $79.43 | $117.49 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $97.72 | $114.82 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $37.15 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $77.62 | $141.25 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $70.79 | $74.13 |
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 $97.72 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $97.72 | $123.03 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $42.66 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $81.28 | $144.54 |
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 $52.48 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $52.48 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $26.92 | $26.92 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 23rd of 51
$145
AK $363FL $97.72
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.