How much rates vary
Facilitymedian $132 · 10th to 90th $102 to $182Professionalmedian $155 · 10th to 90th $129 to $195
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 $154.88 Median $154.88 Typical High $169.82 | Facility | None | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $128.82 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $22.91 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $104.71 | $123.03 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
BCBS Arkansas Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Facility | None | $102.33 | $102.33 | $144.54 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $128.82 | $144.54 | $173.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $29.51 | $35.48 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $114.82 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $204.17 | Facility | None | $131.83 | $181.97 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $112.20 | $151.36 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $25.12 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $114.82 | $186.21 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Qualchoice 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 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $112.20 | $154.88 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $25.70 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $128.82 | $208.93 |
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 $64.57 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $30.90 | $30.90 |
Where Arkansas sits
The same service costs 3.3 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· 30th of 51
$155
AK $316UT $95.50
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.