How much rates vary
Facilitymedian $83 · 10th to 90th $76 to $204Professionalmedian $170 · 10th to 90th $132 to $224
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 $151.36 Median $537.03 Typical High $1,000.00 | Facility | None | $151.36 | $537.03 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $144.54 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $70.79 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $81.28 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $169.82 | $169.82 | $218.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $60.26 | $77.62 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $109.65 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $204.17 | Facility | None | $114.82 | $162.18 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $112.20 | $154.88 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $47.86 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $100.00 | $199.53 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $257.04 | Facility | None | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $128.82 | $190.55 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $51.29 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $134.90 | $194.98 |
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 $75.86 Median $75.86 Typical High $123.03 | Professional | 52 · Reduced service | $75.86 | $75.86 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $30.20 | $48.98 |
Where Arkansas sits
The same service costs 4.3 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· 35th of 51
$170
AK $447UT $105
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.