How much rates vary
Facilitymedian $55 · 10th to 90th $55 to $78Professionalmedian $34 · 10th to 90th $30 to $44
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 $39.81 Median $39.81 Typical High $60.26 | Facility | None | $39.81 | $39.81 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $33.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $16.60 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $17.38 | $19.95 | $19.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 $33.11 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $33.11 | $43.65 | $43.65 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $16.60 | $21.88 | $21.88 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $16.60 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $30.20 | $30.90 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.85 Typical High $24.55 | Professional | 26 · Professional part | $14.79 | $15.85 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $25.12 | Professional | TC · Technical part | $15.14 | $15.14 | $25.12 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
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 $26.30 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $26.30 | $30.90 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $12.30 | $14.13 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $15.85 Typical High $29.51 | Professional | TC · Technical part | $12.88 | $15.85 | $29.51 |
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 $16.98 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $16.98 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $7.94 | $7.94 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska than in New York. 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· 28th of 51
$34.67
AK $87.10NY $25.70
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.