How much rates vary
Facilitymedian $132 · 10th to 90th $120 to $282Professionalmedian $302 · 10th to 90th $195 to $457
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 $281.84 Typical High $281.84 | Facility | None | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $208.93 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $39.81 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $245.47 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None (both parts) | $407.38 | $407.38 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $60.26 | $61.66 |
BCBS Arkansas Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Facility | None | $120.23 | $120.23 | $165.96 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $263.03 | $302.00 | $389.05 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $38.02 | $43.65 | $56.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $257.04 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $457.09 | Facility | None | $97.72 | $154.88 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $194.98 | $309.03 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $263.03 | $389.05 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $398.11 | Facility | None | $177.83 | $218.78 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $173.78 | $257.04 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $229.09 | $416.87 |
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 $125.89 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $56.23 | $56.23 |
Where Arkansas sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 35th of 51
$282
AK $977KY $224
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.