How much rates vary
Facilitymedian $513 · 10th to 90th $363 to $708Professionalmedian $195 · 10th to 90th $132 to $331
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 $144.54 Median $144.54 Typical High $691.83 | Facility | None | $144.54 | $144.54 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $131.83 | $144.54 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $114.82 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $30.90 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $229.09 | $229.09 | $269.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Facility | None | $512.86 | $512.86 | $707.95 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $131.83 | $151.36 | $194.98 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $109.65 | $125.89 | $162.18 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $23.99 | $26.92 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $363.08 Typical High $575.44 | Facility | None | $77.62 | $363.08 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $117.49 | $204.17 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $134.90 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $52.48 Typical High $147.91 | Professional | TC · Technical part | $31.62 | $52.48 | $147.91 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $1,659.59 | Facility | None | $724.44 | $912.01 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $630.96 | Professional | None (both parts) | $125.89 | $239.88 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $120.23 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $57.54 Typical High $426.58 | Professional | TC · Technical part | $23.44 | $57.54 | $426.58 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Arkansas sits
The same service costs 5.1 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· 22nd of 51
$229
AK $575FL $112
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.