How much rates vary
Facilitymedian $20 · 10th to 90th $16 to $30Professionalmedian $51 · 10th to 90th $30 to $68
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 $57.54 Median $63.10 Typical High $63.10 | Facility | None | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $79.43 | Professional | None (both parts) | $43.65 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $29.51 | Professional | TC · Technical part | $15.85 | $23.44 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $47.86 | $47.86 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $30.90 | $48.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $27.54 | Facility | None | $20.42 | $20.42 | $27.54 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $44.67 | $51.29 | $67.61 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $31.62 | $41.69 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | TC · Technical part | $19.50 | $19.50 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $18.20 Typical High $45.71 | Facility | None | $7.59 | $18.20 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.12 Typical High $75.86 | Professional | None (both parts) | $23.99 | $25.12 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $51.29 | Professional | 26 · Professional part | $14.45 | $17.78 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $6.46 Typical High $29.51 | Professional | TC · Technical part | $6.46 | $6.46 | $29.51 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $25.12 | $33.11 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $16.98 | $21.88 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $11.75 Typical High $22.91 | Professional | TC · Technical part | $6.61 | $11.75 | $22.91 |
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 $21.88 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $21.88 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $8.91 | $12.59 | $12.59 |
Where Arkansas sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$47.86
AK $141LA $30.20
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.