How much rates vary
Facilitymedian $107 · 10th to 90th $89 to $148Professionalmedian $85 · 10th to 90th $47 to $100
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 $87.10 Median $89.13 Typical High $89.13 | Facility | None | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $45.71 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $16.98 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
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 $66.07 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $66.07 | $66.07 | $85.11 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $38.90 | $38.90 | $50.12 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $26.92 | $26.92 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $15.49 | $38.90 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $181.97 | Facility | None | $69.18 | $114.82 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $41.69 | $95.50 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $57.54 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $14.79 | $38.02 | $70.79 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
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 $47.86 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $47.86 | $87.10 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $50.12 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $18.62 | $31.62 | $69.18 |
3 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 $19.95 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $19.95 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $8.13 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 50 · Both sides | $66.07 | $66.07 | $66.07 |
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· 17th of 51
$85.11
AK $151TX $39.81
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.