How much rates vary
Facilitymedian $263 · 10th to 90th $263 to $389Professionalmedian $69 · 10th to 90th $60 to $83
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 $74.13 Median $74.13 Typical High $177.83 | Facility | None | $74.13 | $74.13 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $63.10 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $29.51 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $33.11 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $57.54 | $57.54 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
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 $61.66 Median $61.66 Typical High $83.18 | Professional | None (both parts) | $61.66 | $61.66 | $83.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $31.62 | $41.69 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | TC · Technical part | $30.90 | $30.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $257.04 Typical High $288.40 | Facility | None | $245.47 | $257.04 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $46.77 | $79.43 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $40.74 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $50.12 | Professional | TC · Technical part | $25.70 | $38.90 | $50.12 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,122.02 | Facility | None | $489.78 | $602.56 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $114.82 | Professional | None (both parts) | $50.12 | $57.54 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $28.18 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $28.84 | $61.66 |
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 $31.62 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $12.59 | $14.79 | $14.79 |
Where Arkansas sits
The same service costs 3.6 times more in Minnesota than in Texas. 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
$69.18
MN $141TX $38.90
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.