How much rates vary
Facilitymedian $44 · 10th to 90th $40 to $89Professionalmedian $112 · 10th to 90th $91 to $151
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 $112.20 Median $112.20 Typical High $128.82 | Facility | None | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $85.11 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $36.31 | $50.12 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $120.23 | $138.04 | $138.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Facility | None | $39.81 | $39.81 | $54.95 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $104.71 | $104.71 | $134.90 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $58.88 | $75.86 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $45.71 | $45.71 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $144.54 | Facility | None | $56.23 | $89.13 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $72.44 | $97.72 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $52.48 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $45.71 | $74.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $138.04 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $81.28 | $102.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $53.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $50.12 | $74.13 |
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 $37.15 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $37.15 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $15.14 | $22.39 | $22.39 |
Where Arkansas sits
The same service costs 4.2 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
$112
AK $275TX $66.07
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.