How much rates vary
Facilitymedian $355 · 10th to 90th $288 to $525Professionalmedian $126 · 10th to 90th $115 to $151
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 $134.90 Median $134.90 Typical High $141.25 | Facility | None | $134.90 | $134.90 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
BCBS Arkansas Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $501.19 | Facility | None | $354.81 | $354.81 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $114.82 | $114.82 | $151.36 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $63.10 | $63.10 | $83.18 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $288.40 | Facility | None | $107.15 | $107.15 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $83.18 | $177.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $97.72 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $81.28 | $112.20 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
United Setting Facility Modifier None Typical Low $588.84 Median $724.44 Typical High $1,318.26 | Facility | None | $588.84 | $724.44 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $95.50 | $125.89 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $42.66 | $58.88 | $100.00 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Arkansas sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$126
MN $269UT $70.79
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.