How much rates vary
Facilitymedian $331 · 10th to 90th $56 to $457Professionalmedian $102 · 10th to 90th $68 to $135
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 $109.65 Median $109.65 Typical High $117.49 | Facility | None | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $109.65 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $63.10 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $31.62 | $67.61 |
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 $91.20 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $91.20 | $102.33 | $134.90 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $37.15 | $37.15 | $48.98 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $66.07 | $87.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $79.43 Typical High $123.03 | Professional | None (both parts) | $32.36 | $79.43 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $223.87 | Facility | None | $40.74 | $74.13 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $173.78 | Professional | None (both parts) | $57.54 | $57.54 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $20.42 | $24.55 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $117.49 | Professional | TC · Technical part | $28.84 | $33.11 | $117.49 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
United Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $501.19 | Facility | None | $223.87 | $275.42 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $128.82 | Professional | None (both parts) | $57.54 | $79.43 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $26.92 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $34.67 | $52.48 | $91.20 |
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 $54.95 Median $54.95 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $21.88 | $26.92 |
Where Arkansas sits
The same service costs 5.2 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· 43rd of 51
$110
AK $309AL $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.