How much rates vary
Facilitymedian $457 · 10th to 90th $91 to $676Professionalmedian $68 · 10th to 90th $59 to $89
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 $63.10 Median $66.07 Typical High $91.20 | Facility | None | $63.10 | $66.07 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $72.44 | Professional | None (both parts) | $56.23 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.44 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.11 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $33.11 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 26 · Professional part | $42.66 | $42.66 | $45.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Facility | None | $457.09 | $457.09 | $630.96 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $67.61 | $67.61 | $87.10 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $32.36 | $41.69 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $34.67 | $34.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $309.03 Typical High $812.83 | Facility | None | $52.48 | $309.03 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $48.98 | $61.66 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $28.18 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $27.54 | $33.88 | $61.66 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $44.67 | $44.67 | $48.98 |
United Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,621.81 | Facility | None | $724.44 | $891.25 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $53.70 | $63.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $35.48 | $63.10 |
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 $26.92 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $13.18 | $13.18 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 33rd of 51
$67.61
AK $178TX $46.77
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.