How much rates vary
Facilitymedian $263 · 10th to 90th $257 to $380Professionalmedian $45 · 10th to 90th $40 to $58
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 $46.77 Median $47.86 Typical High $47.86 | Facility | None | $46.77 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $15.14 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $23.99 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | None (both parts) | $50.12 | $50.12 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
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 $40.74 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $40.74 | $40.74 | $53.70 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $16.22 | $16.22 | $21.38 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $24.55 | $24.55 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.78 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $17.78 | $30.20 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $257.04 Typical High $257.04 | Facility | None | $74.13 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $28.84 | $51.29 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $20.89 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $20.89 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $17.78 | $30.20 | $35.48 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None (both parts) | $57.54 | $57.54 | $70.79 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
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 $31.62 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $31.62 | $36.31 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $14.45 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $22.39 | $39.81 |
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 $19.50 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $19.50 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.76 | $9.55 | $9.55 |
Where Arkansas sits
The same service costs 2.7 times more in Minnesota 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· 24th of 51
$44.67
MN $83.18UT $30.90
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.