How much rates vary
Facilitymedian $363 · 10th to 90th $110 to $501Professionalmedian $47 · 10th to 90th $41 to $69
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 $44.67 Median $45.71 Typical High $75.86 | Facility | None | $44.67 | $45.71 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $38.90 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $23.44 | Professional | 26 · Professional part | $13.49 | $20.42 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $25.12 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
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 $46.77 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $46.77 | $46.77 | $58.88 |
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 $26.30 Median $26.30 Typical High $33.88 | Professional | TC · Technical part | $26.30 | $26.30 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $223.87 Typical High $616.60 | Facility | None | $38.90 | $223.87 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $33.11 | $44.67 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $16.60 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $58.88 | Professional | TC · Technical part | $20.42 | $25.12 | $58.88 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $7.59 | $31.62 | $31.62 |
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 $36.31 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $36.31 | $60.26 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $16.98 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.02 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $38.02 | $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 $17.78 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $17.78 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.08 | $9.12 | $9.12 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in New York. 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· 31st of 51
$54.95
AK $115NY $30.20
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.