How much rates vary
Facilitymedian $132 · 10th to 90th $102 to $178Professionalmedian $191 · 10th to 90th $158 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 $162.18 Median $162.18 Typical High $186.21 | Facility | None | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $100.00 | $131.83 | $131.83 |
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 $158.49 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $158.49 | $177.83 | $208.93 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $30.90 | $37.15 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $131.83 | $144.54 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $234.42 | Facility | None | $120.23 | $177.83 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $147.91 | $229.09 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $37.15 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $194.98 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $194.98 | $239.88 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
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 $138.04 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $138.04 | $190.55 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $151.36 | $257.04 |
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 $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $32.36 | $32.36 |
Where Arkansas sits
The same service costs 3.5 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· 35th of 51
$174
AK $407UT $117
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.