How much rates vary
Facilitymedian $45 · 10th to 90th $45 to $66Professionalmedian $71 · 10th to 90th $37 to $93
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 $56.23 Median $69.18 Typical High $91.20 | Facility | None | $56.23 | $69.18 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $57.54 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $19.95 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Facility | None | $44.67 | $44.67 | $61.66 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $61.66 | $70.79 | $93.33 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $27.54 | $27.54 | $36.31 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $42.66 | $42.66 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $83.18 | Facility | None | $31.62 | $51.29 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $102.33 | Professional | None (both parts) | $30.90 | $32.36 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $10.72 | $24.55 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $40.74 Typical High $70.79 | Professional | TC · Technical part | $18.20 | $40.74 | $70.79 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $32.36 | $44.67 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $16.60 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $28.18 | $46.77 |
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 $28.84 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $28.84 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $11.48 | $18.20 | $18.20 |
Where Arkansas sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 37th of 51
$61.66
AK $182TX $41.69
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.