How much rates vary
Facilitymedian $363 · 10th to 90th $209 to $525Professionalmedian $107 · 10th to 90th $76 to $214
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 $154.88 Median $524.81 Typical High $524.81 | Facility | None | $154.88 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $75.86 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $22.39 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $51.29 | $512.86 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $34.67 | $40.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $85.11 | $85.11 | $107.15 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $32.36 | $41.69 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $52.48 | $52.48 | $66.07 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $31.62 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $234.42 Typical High $616.60 | Facility | None | $134.90 | $234.42 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $69.18 | $117.49 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $46.77 | Professional | 26 · Professional part | $17.38 | $21.38 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $47.86 | $97.72 | $144.54 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $39.81 | $46.77 |
United Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,047.13 | Facility | None | $457.09 | $575.44 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $66.07 | $112.20 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $18.20 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $42.66 | $87.10 | $162.18 |
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 $33.88 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $33.88 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $13.49 | $104.71 | $104.71 |
Where Arkansas sits
The same service costs 5.4 times more in New York 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· 38th of 51
$107
NY $355TX $66.07
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.