How much rates vary
Facilitymedian $58 · 10th to 90th $51 to $148Professionalmedian $110 · 10th to 90th $59 to $166
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 $120.23 Median $151.36 Typical High $151.36 | Facility | None | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $128.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $85.11 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | None | $51.29 | $51.29 | $70.79 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $109.65 | $109.65 | $165.96 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $34.67 | $52.48 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $75.86 | $75.86 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $208.93 | Facility | None | $44.67 | $91.20 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $186.21 | Professional | None (both parts) | $58.88 | $75.86 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $66.07 | Professional | 26 · Professional part | $18.20 | $21.38 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $128.82 | Professional | TC · Technical part | $36.31 | $38.02 | $128.82 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $154.88 | Facility | None | $69.18 | $85.11 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $87.10 Typical High $141.25 | Professional | None (both parts) | $57.54 | $87.10 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $64.57 | Professional | 26 · Professional part | $20.89 | $26.30 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $38.02 | $60.26 | $100.00 |
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 $64.57 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $30.20 | $30.20 |
Where Arkansas sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 42nd of 51
$110
AK $331AL $57.54
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.