How much rates vary
Facilitymedian $107 · 10th to 90th $71 to $148Professionalmedian $72 · 10th to 90th $60 to $107
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 $33.88 Median $70.79 Typical High $85.11 | Facility | None | $33.88 | $70.79 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $56.23 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $36.31 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $33.88 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 26 · Professional part | $44.67 | $44.67 | $45.71 |
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 $83.18 | Professional | None (both parts) | $66.07 | $66.07 | $83.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $33.88 | $43.65 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $31.62 | $31.62 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $26.92 | $39.81 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $131.83 Typical High $181.97 | Facility | None | $53.70 | $131.83 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $48.98 | $69.18 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $30.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $91.20 | Professional | TC · Technical part | $23.44 | $34.67 | $91.20 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $91.20 | $91.20 | $102.33 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $51.29 | $51.29 | $52.48 |
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 $53.70 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $53.70 | $89.13 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $46.77 | $83.18 |
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 $24.55 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $14.13 | $14.13 |
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· 29th of 51
$83.18
AK $182TX $47.86
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.