How much rates vary
Facilitymedian $83 · 10th to 90th $76 to $132Professionalmedian $158 · 10th to 90th $117 to $200
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 $70.79 Median $117.49 Typical High $117.49 | Facility | None | $70.79 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $93.33 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $70.79 | $87.10 |
Ambetter 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 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $158.49 | $158.49 | $199.53 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $43.65 | $56.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $199.53 | Facility | None | $57.54 | $107.15 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $107.15 | $147.91 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $38.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $107.15 | $186.21 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $64.57 | $69.18 |
United Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $257.04 | Facility | None | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $117.49 | $144.54 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $87.10 | $104.71 | $181.97 |
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 $48.98 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.44 |
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· 20th of 51
$158
AK $363TX $97.72
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.