How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,820 to $3,890Professionalmedian $178 · 10th to 90th $148 to $263
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 $177.83 Median $177.83 Typical High $707.95 | Facility | None | $177.83 | $177.83 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $114.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,630.78 | Facility | None | $2,630.27 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $173.78 | $173.78 | $223.87 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $93.33 | $93.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $2,691.53 Typical High $4,786.30 | Facility | None | $162.18 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $616.60 | Professional | None (both parts) | $120.23 | $162.18 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $93.33 | $467.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $5,128.61 Typical High $9,332.54 | Facility | None | $4,168.69 | $5,128.61 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $645.65 | Professional | None (both parts) | $131.83 | $213.80 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $67.61 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $489.78 | Professional | TC · Technical part | $70.79 | $123.03 | $489.78 |
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 $57.54 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $57.54 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $22.91 | $35.48 | $35.48 |
Where Arkansas sits
The same service costs 5.4 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· 24th of 51
$204
AK $407UT $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.