How much rates vary
Facilitymedian $115 · 10th to 90th $102 to $155Professionalmedian $170 · 10th to 90th $145 to $229
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 $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $24.55 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $104.71 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $144.54 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $144.54 | $158.49 | $190.55 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $26.92 | $32.36 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $120.23 | $131.83 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $245.47 | Facility | None | $131.83 | $181.97 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $131.83 | $169.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $29.51 | $46.77 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
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 $128.82 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $128.82 | $158.49 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $26.92 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $107.15 | $134.90 | $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 $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 3.8 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· 33rd of 51
$158
AK $363UT $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.