How much rates vary
Facilitymedian $120 · 10th to 90th $98 to $166Professionalmedian $79 · 10th to 90th $65 to $120
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 $69.18 Median $69.18 Typical High $109.65 | Facility | None | $69.18 | $69.18 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $63.10 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $34.67 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $104.71 | $104.71 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $52.48 | $53.70 |
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 $64.57 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $64.57 | $74.13 | $95.50 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $38.02 | $48.98 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $31.62 | $36.31 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $346.74 | Facility | None | $57.54 | $102.33 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $53.70 | $81.28 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $26.92 | $40.74 | $67.61 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $120.23 | $120.23 | $134.90 |
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 $60.26 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $60.26 | $87.10 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $29.51 | $43.65 | $66.07 |
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 $32.36 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $32.36 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $12.88 | $14.13 | $14.13 |
Where Arkansas sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 17th of 51
$95.50
AK $257FL $54.95
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.