How much rates vary
Facilitymedian $331 · 10th to 90th $200 to $457Professionalmedian $158 · 10th to 90th $93 to $209
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $131.83 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $48.98 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $151.36 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
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 $141.25 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $141.25 | $158.49 | $208.93 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $38.90 | $38.90 | $52.48 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $120.23 | $120.23 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $34.67 | $95.50 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $251.19 | Facility | None | $104.71 | $144.54 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $234.42 | Professional | None (both parts) | $63.10 | $63.10 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $19.50 | $42.66 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $35.48 | $112.20 | $204.17 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $173.78 | $173.78 | $208.93 |
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 $63.10 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $63.10 | $100.00 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $24.55 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $40.74 | $70.79 | $134.90 |
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 $69.18 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $69.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $27.54 | $39.81 | $39.81 |
Where Arkansas sits
The same service costs 7.1 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· 32nd of 51
$158
AK $417AL $58.88
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.