How much rates vary
Facilitymedian $72 · 10th to 90th $72 to $100Professionalmedian $105 · 10th to 90th $62 to $138
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $74.13 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Facility | None | $72.44 | $72.44 | $100.00 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $91.20 | $104.71 | $138.04 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $33.11 | $43.65 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $70.79 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $158.49 | Facility | None | $64.57 | $91.20 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $154.88 | Professional | None (both parts) | $39.81 | $39.81 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $12.59 | $30.90 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $22.39 | $64.57 | $123.03 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $39.81 | $67.61 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $14.45 | $20.42 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $45.71 | $83.18 |
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 $51.29 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $25.12 | $25.12 |
Where Arkansas sits
The same service costs 4.6 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· 38th of 51
$100
AK $269AL $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.