How much rates vary
Facilitymedian $33 · 10th to 90th $33 to $49Professionalmedian $76 · 10th to 90th $68 to $95
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 $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | None (both parts) | $70.79 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $42.66 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $22.39 | $22.39 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $77.62 | $81.28 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $53.70 | $60.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $46.77 | Facility | None | $33.11 | $33.11 | $46.77 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | None (both parts) | $67.61 | $67.61 | $89.13 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $41.69 | $56.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | TC · Technical part | $25.70 | $25.70 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $47.86 | $50.12 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $42.66 | Facility | None | $30.90 | $38.90 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $57.54 | $95.50 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $27.54 | $64.57 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $29.51 | $72.44 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $89.13 | $93.33 | $109.65 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $61.66 | $69.18 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $58.88 | $72.44 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $42.66 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $29.51 | $57.54 |
4 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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 59 · Distinct service | $91.20 | $91.20 | $91.20 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
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· 41st of 51
$75.86
AK $182NY $53.70
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.