How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $148Professionalmedian $135 · 10th to 90th $112 to $174
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 $117.49 Median $138.04 Typical High $138.04 | Facility | None | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $95.50 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $67.61 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $40.74 | $53.70 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $134.90 | $134.90 | $173.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $39.81 | $39.81 | $51.29 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $181.97 | Facility | None | $57.54 | $107.15 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $83.18 | $123.03 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $89.13 | $144.54 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $97.72 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $34.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $85.11 | $151.36 |
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 $48.98 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $27.54 | $27.54 |
Where Arkansas sits
The same service costs 3.9 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· 22nd of 51
$135
AK $339TX $87.10
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.