How much rates vary
Facilitymedian $263 · 10th to 90th $200 to $389Professionalmedian $200 · 10th to 90th $166 to $251
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 $199.53 Median $199.53 Typical High $213.80 | Facility | None | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $162.18 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $30.90 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $169.82 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $125.89 | $218.78 | $218.78 |
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 $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $165.96 | $181.97 | $218.78 |
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 $141.25 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $154.88 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $446.68 | Facility | None | $151.36 | $190.55 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $144.54 | $190.55 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $29.51 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $123.03 | $162.18 | $245.47 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
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 $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $144.54 | $194.98 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $26.30 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $169.82 | $281.84 |
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 $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $39.81 | $39.81 |
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· 29th of 51
$200
AK $417UT $126
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.