How much rates vary
Facilitymedian $224 · 10th to 90th $158 to $355Professionalmedian $105 · 10th to 90th $83 to $135
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 $95.50 Median $95.50 Typical High $109.65 | Facility | None | $95.50 | $95.50 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $85.11 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $75.86 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $104.71 | $104.71 | $134.90 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $20.89 | $20.89 | $26.30 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $83.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $234.42 Typical High $407.38 | Facility | None | $114.82 | $234.42 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $72.44 | $89.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $17.38 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $70.79 | $141.25 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $81.28 | $100.00 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $17.78 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $66.07 | $83.18 | $151.36 |
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 $44.67 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $19.05 | $20.42 |
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· 34th of 51
$105
AK $288NY $75.86
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.