How much rates vary
Facilitymedian $331 · 10th to 90th $81 to $457Professionalmedian $123 · 10th to 90th $85 to $170
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 $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $112.20 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $263.03 | Professional | None (both parts) | $114.82 | $114.82 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $43.65 | $93.33 |
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 $109.65 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $109.65 | $123.03 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $46.77 | $61.66 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $77.62 | $77.62 | $102.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $38.90 | $61.66 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $162.18 | Facility | None | $57.54 | $83.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $204.17 | Professional | None (both parts) | $70.79 | $85.11 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $33.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $51.29 | $123.03 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
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 $69.18 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $69.18 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $34.67 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $58.88 | $97.72 |
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 $48.98 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $48.98 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $19.95 | $33.88 | $33.88 |
Where Arkansas sits
The same service costs 4.5 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· 34th of 51
$123
AK $316AL $70.79
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.