How much rates vary
Facilitymedian $195 · 10th to 90th $174 to $513Professionalmedian $501 · 10th to 90th $363 to $692
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 $501.19 Median $501.19 Typical High $1,000.00 | Facility | None | $501.19 | $501.19 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $323.59 | $501.19 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $173.78 Typical High $190.55 | Professional | 26 · Professional part | $104.71 | $173.78 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $229.09 | $331.13 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $478.63 | $588.84 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 26 · Professional part | $177.83 | $177.83 | $190.55 |
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 $489.78 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $489.78 | $489.78 | $616.60 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $138.04 | $138.04 | $177.83 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | TC · Technical part | $346.74 | $346.74 | $446.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $147.91 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $147.91 | $363.08 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $724.44 | Facility | None | $338.84 | $512.86 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $346.74 | $467.74 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $117.49 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $245.47 | $323.59 | $676.08 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $512.86 | $676.08 | $676.08 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $204.17 | $204.17 | $229.09 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | TC · Technical part | $512.86 | $512.86 | $724.44 |
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 $389.05 Median $562.34 Typical High $851.14 | Professional | None (both parts) | $389.05 | $562.34 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $125.89 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $660.69 | Professional | TC · Technical part | $281.84 | $416.87 | $660.69 |
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 $162.18 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $162.18 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $64.57 | $100.00 | $100.00 |
Where Arkansas sits
The same service costs 6.8 times more in Alaska than in Utah. 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
$501
AK $1,148UT $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.