How much rates vary
Facilitymedian $162 · 10th to 90th $102 to $224Professionalmedian $162 · 10th to 90th $95 to $219
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 $158.49 Median $204.17 Typical High $204.17 | Facility | None | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $134.90 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $56.23 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $93.33 | $151.36 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $169.82 | $169.82 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $43.65 | $69.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $223.87 | Facility | None | $162.18 | $162.18 | $223.87 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $144.54 | $162.18 | $218.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $44.67 | $58.88 |
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 $38.02 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $38.02 | $97.72 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $257.04 | Facility | None | $70.79 | $112.20 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $257.04 | Professional | None (both parts) | $81.28 | $95.50 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $74.13 | Professional | 26 · Professional part | $21.88 | $34.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $60.26 | $186.21 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $194.98 | $194.98 | $275.42 |
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 $85.11 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $85.11 | $128.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $81.28 | $123.03 |
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 $67.61 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $67.61 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $26.92 | $41.69 | $41.69 |
Where Arkansas sits
The same service costs 4.9 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
$162
AK $468AL $95.50
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.