How much rates vary
Facilitymedian $479 · 10th to 90th $479 to $692Professionalmedian $186 · 10th to 90th $155 to $245
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 $151.36 Median $186.21 Typical High $186.21 | Facility | None | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $45.71 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $141.25 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $117.49 | $117.49 | $147.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $676.08 | Facility | None | $478.63 | $478.63 | $676.08 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $162.18 | $181.97 | $213.80 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $39.81 | $44.67 | $53.70 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $134.90 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $676.08 | Facility | None | $338.84 | $489.78 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $138.04 | $223.87 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $61.66 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $177.83 | $263.03 |
United Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,621.81 | Facility | None | $724.44 | $891.25 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $123.03 | $162.18 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $45.71 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $93.33 | $125.89 | $234.42 |
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 $81.28 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $81.28 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska 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· 28th of 51
$186
AK $380UT $129
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.