How much rates vary
Facilitymedian $331 · 10th to 90th $166 to $457Professionalmedian $251 · 10th to 90th $158 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 $218.78 Median $302.00 Typical High $302.00 | Facility | None | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $229.09 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $104.71 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $199.53 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $275.42 | $275.42 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $81.28 | $131.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $457.09 | Facility | None | $331.13 | $331.13 | $457.09 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $218.78 | $251.19 | $331.13 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $85.11 | $112.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $165.96 | $165.96 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $72.44 | $158.49 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $177.83 Typical High $389.05 | Facility | None | $100.00 | $177.83 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $436.52 | Professional | None (both parts) | $131.83 | $154.88 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $47.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $79.43 | $107.15 | $295.12 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $316.23 | $316.23 | $537.03 |
United Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,071.52 | Facility | None | $467.74 | $588.84 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $141.25 | $169.82 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $58.88 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $107.15 | $194.98 |
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 $114.82 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $45.71 | $61.66 | $61.66 |
Where Arkansas sits
The same service costs 4.2 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· 29th of 51
$269
AK $575AL $138
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.