How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,820 to $3,890Professionalmedian $166 · 10th to 90th $138 to $240
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 $165.96 Median $165.96 Typical High $691.83 | Facility | None | $165.96 | $165.96 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $190.55 | Professional | None (both parts) | $112.20 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $97.72 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
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 $162.18 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $162.18 | $162.18 | $204.17 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $69.18 | $69.18 | $87.10 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $91.20 | $117.49 |
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 $109.65 Median $154.88 Typical High $602.56 | Professional | None (both parts) | $109.65 | $154.88 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $61.66 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $467.74 | Professional | TC · Technical part | $60.26 | $93.33 | $467.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
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 $120.23 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $120.23 | $208.93 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $489.78 | Professional | TC · Technical part | $67.61 | $120.23 | $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 $52.48 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $33.11 | $33.11 |
Where Arkansas sits
The same service costs 4.9 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
$186
AK $372UT $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.