How much rates vary
Facilitymedian $115 · 10th to 90th $107 to $170Professionalmedian $110 · 10th to 90th $91 to $141
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 $91.20 Median $114.82 Typical High $114.82 | Facility | None | $91.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $63.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
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 $109.65 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $109.65 | $109.65 | $141.25 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $42.66 | $53.70 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $181.97 | Facility | None | $79.43 | $128.82 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $61.66 | $95.50 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $38.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $57.54 | $100.00 |
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 $81.28 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $81.28 | $102.33 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $64.57 | $95.50 |
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 $31.62 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $31.62 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $12.88 | $22.91 | $22.91 |
Where Arkansas sits
The same service costs 3.7 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· 19th of 51
$110
AK $229TX $61.66
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.