How much rates vary
Facilitymedian $457 · 10th to 90th $331 to $724Professionalmedian $302 · 10th to 90th $229 to $389
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 $218.78 Median $331.13 Typical High $331.13 | Facility | None | $218.78 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $223.87 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $104.71 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $223.87 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Facility | None | $457.09 | $457.09 | $630.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $302.00 | $302.00 | $389.05 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $97.72 | $97.72 | $125.89 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $204.17 | $204.17 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $77.62 | $213.80 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $812.83 | Facility | None | $204.17 | $489.78 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $190.55 | $269.15 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $87.10 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $181.97 | $331.13 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
United Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,621.81 | Facility | None | $724.44 | $891.25 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $204.17 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $89.13 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $173.78 | $331.13 |
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 $112.20 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $112.20 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $44.67 | $66.07 | $66.07 |
Where Arkansas sits
The same service costs 5.0 times more in Alaska than in Utah. 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
$302
AK $794UT $158
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.