How much rates vary
Facilitymedian $55 · 10th to 90th $55 to $79Professionalmedian $63 · 10th to 90th $58 to $83
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 $72.44 Median $75.86 Typical High $75.86 | Facility | None | $72.44 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.90 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $25.70 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $77.62 | Facility | None | $54.95 | $54.95 | $77.62 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $63.10 | $83.18 | $83.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $51.29 | $51.29 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $24.55 | $32.36 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $23.44 | $33.88 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $53.70 | $60.26 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $34.67 | $37.15 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $22.91 | $31.62 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
United Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $173.78 | Facility | None | $77.62 | $95.50 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $40.74 | $54.95 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $33.11 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $27.54 | Professional | TC · Technical part | $15.85 | $20.89 | $27.54 |
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 $32.36 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 24th of 51
$63.10
AK $170FL $45.71
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.