How much rates vary
Facilitymedian $132 · 10th to 90th $102 to $182Professionalmedian $170 · 10th to 90th $151 to $240
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 $144.54 Median $162.18 Typical High $194.98 | Facility | None | $144.54 | $162.18 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $128.82 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $128.82 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $194.98 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $28.18 | $32.36 | $38.90 |
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 $151.36 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $151.36 | $165.96 | $199.53 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $28.84 | $34.67 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $165.96 | Professional | TC · Technical part | $125.89 | $138.04 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $21.88 | $120.23 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $239.88 | Facility | None | $131.83 | $177.83 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $128.82 | $177.83 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $141.25 | $223.87 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $190.55 | $190.55 | $275.42 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $32.36 | $32.36 | $44.67 |
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 $125.89 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $125.89 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $25.12 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $154.88 | $251.19 |
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 $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $32.36 | $32.36 |
Where Arkansas sits
The same service costs 3.7 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
$162
AK $355UT $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.