How much rates vary
Facilitymedian $107 · 10th to 90th $89 to $151Professionalmedian $115 · 10th to 90th $81 to $158
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 $81.28 Median $81.28 Typical High $104.71 | Facility | None | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $81.28 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $40.74 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $41.69 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $48.98 | $52.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $54.95 | $102.33 | $102.33 |
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 $114.82 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $114.82 | $114.82 | $147.91 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $38.02 | $47.86 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $77.62 | $77.62 | $100.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $29.51 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $29.51 | $83.18 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $181.97 | Facility | None | $87.10 | $131.83 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $69.18 | $91.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $33.88 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $128.82 | Professional | TC · Technical part | $39.81 | $57.54 | $128.82 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $173.78 | $173.78 | $181.97 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $56.23 | $56.23 | $60.26 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $117.49 | $117.49 |
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 $89.13 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $89.13 | $114.82 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $81.28 | $125.89 |
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 $40.74 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $16.22 | $16.22 | $20.42 |
Where Arkansas sits
The same service costs 4.2 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· 28th of 51
$115
AK $302UT $72.44
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.